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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 l)2-2/f-t:JLI <br />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING 813-7IS-()/Sa <br /> <br />OWNER'S NAME S K V b II/€" C ITY J / tJC . PHONE <br />JOB ADDRESS /f2if/ SI< Y /J III€:. LIJI./€.J zel'flY/UlILLS ~ q <br /> <br />8/3-7133-93'1 <br />335"92 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # /B-L~.22-00/()-tJ8CtXJ-()OOO <br />WORK PROPSED: (JNEW CONSTRUCTION ~DITION <br /> <br />SUBDIVISION <br /> <br />(ORTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DALTERATION <br /> <br />DREPAIR <br /> <br />D INSTALL <br /> <br />D SIGN <br />PROPOSED USE: ZFAMILY DWELLING <br />COMMERCIAL <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />(J SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRJ:PTION OF WORK ,MAIN I3lJ-rll#fJ()Sc ~1J~/77oN - STAre M.,f";~/lTCd <br />I II 1811 . I " f -? M19rcH <br />BUILDING SIZE /11....0 X 30- '22-8 XI3 SQUARE FOOTAGE .?17 7t:17J1.L HEIGHT EX~f:'rp.lG" <br />ClJAlC#715. I#G . - . <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (I) 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 />~ILDING~8.~. $ VALUATION OF TOTAL CONSTRUCTION <br />~ECTRICAL EXIS'rlNG-~~1J AMP SERVICE ~LORIDA POWER D <br /> <br />W.R.E.C. <br /> <br />~LUMBING <br /> <br />(J MECHANICAL J/.A. $ <br />(J GAS D ROOFING (J SPECIALTY <br />TYPE OF CONSTRUCTION: ~CK <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS ,llJlrrCH <br />EXIS',/,.{G CU. <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~ <br /> <br />SIGNATURE <br /> <br /> <br />CO~c:TOlt?SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br /> <br />(.tv <br /> <br />c: fJlA,J Iv"c.~ :t", ~ <br /> <br /> <br />STATE CERT OR REGIST # CA COV.AA { <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE ~-:D:::..- \t.)~-4 <br /> <br />COMPANY_R...,.,... ~"'''- ~ <br />. <br /> <br />I <br /> <br />STATE CERT OR REGIST # 1&.1 'lOa <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br /> <br />,/ <br /> <br />COMPANY 4("r~,~ itrV/I,-<_ <br />STATE CERT OR REGIST # yp t <br /> <br />/ <br /> <br />SIGNATURE <br /> <br />* ************************************************ <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />NA. <br /> <br />COMPANY . <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />