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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />3/'1/0 r/ <br /> <br />PHONE CONTACT FOR PERMITTING ,f1.3-7~,'(-3319 <br /> <br />OWNER'S NAME J/1;1;-t e .$, "f u fA- 5 <br />JOB ADDRESS ~7 /J.j ,L/'1-~CA )Jr. <br /> <br />PHONE <br /> <br />LE~ DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCElL ID # IS;1..(, ~ I t/ /I,t; at/ClOt) t?ll tJ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORKPROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />rrINSTALL <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />-:CIVsh,.l! U/tjYlkf~ ~tJo Any> C<:...rIJ;("~ <br />SQUARE FOOTAGE <br /> <br />s...' ,2P1'l9- :1:".AJS,J<, f/#J?e/ <br />( <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />[J BUILDING <br />ff ELECTRICAL <br /> <br />$ <br /> <br />Jfl <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ frt:'iI'c""~5 €y)'e'Y"j'l [J W.R.E.C. <br /> <br /> <br />..".....~_._--..., <br />// <br /> <br />/R 1q~ <br /> <br />[J PLUMBING <br />[J MECIU\NICAL <br /> <br />$ <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISaED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br />CO~~TOR........SECTION <br /> <br />BUILDtR <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />J'/Ir ns';"' <br />ELECTRICIAN( ~~ <br />SIGNAtURE :J~J, ~nrL- <br />I <br /> <br />COMPANY PI9++, ~ E/I!'~ l-rJ.c; <br />ec - t:JOO /.:{(P8 <br />STATE CERT OR REGIST # C"~t - "'-.:l37 <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />COMPANY 1:4.1'1-16> Eit!'ch-/~ <br /> <br />STATE CERT OR REGIST # Cme- 05~-"7" <br /> <br />~')'3g <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />