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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 85 St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />#Sftc/ <br />~- ~ loti <br />a. f <br /> <br />OWNER'S NAME <br /> <br />\' /j;L.L ~r;: w tt I'll eLD <br />1X'tJ.13 L eOA/[JJA S ~ !WY-..- <br /> <br />PHONE CONTACT FOR PERMITTING <br />/)'tfUf,4 Myo<j'It('fv <br />PHONE -'PI 3 . ~h;; '11f13 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT (S) -S;"- BLOCK <br />PARCEL 10 # /'1-)[.,-2/. tJ/(pO. OOo/JO - O~-.;J.tJ <br /> <br />SUBDIVISION M)NIN.l'J. tJIH('> <br />(OBTAIN FROM PROPF.RTY TAX NOTICE\ <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />)8 INSTALL <br /> <br />o MOVE <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~'MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />/JJII Se.1v? <br />11"1' X S')...- <br /> <br />SQUARE FOOTAGE <br /> <br />/::>11 <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />JF () 9fC <br /> <br />u;:rBUILDING <br />IZY'ELECTRI CAL <br /> <br />$ <br /> <br />Si. {} ()()- <br />7-00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />~' W.R.E.C. <br /> <br />~LUMBING <br />~CHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />~ OTHER /11// <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES EJ NO <br /> <br />COMPANY 11t/Jllfo.AJ E~c.l/ <br />SIGNATUR STATE CERT OR REGIST # E /< (JOO,:;) ~~3 <br /> <br /> <br />IJJA.e..<:IIAJ..l- <br /> <br />gO~q~R)SECTION <br />, . /J;I!~/ <br />COMPANY '- <br /> <br />?iI~<Py'~~ STATE CERT OR REGIST <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br /># 211. OOO() 3017 <br />I <br /> <br />***************************************** <br /> <br />PLUMBER COMPANY <br />SIGNATURE 1Jf,1;zSfl"'., ?/I~'~~ Il~ STATE CERT OR REGIST # 2110120030;7 <br /> <br /> <br />****************************************************************** <br /> <br />MECHANICAL " COMPANY 57:)/,/'7/-1 u..d I?L/.I?1Arc.- <br />SIGNATURE ! /, .v,/-STATE CERT OR REGIST # (!4e.-0,;2/3'Y <br /> <br /> <br />OTHER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br />