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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 89 St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT <br /> <br />DATE ~CE~D. .1/- $'-0 r <br />( ~,p7 <br />FOR PERMITTING r.~ 0 ~ ,(/;;Jc2 7 <br /> <br />OWNER'S NAME 00\ \ l5/ vd, tOficl 1/'J s r PHONE C~ <br />JOBADDRESS 003~ GCAII g'V.t 2ep\1\1v'h,'\\S. I FL <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL 10 # 03~ ~0-~1- OOIQ.... (-:;~O\J....O()WOBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br />(J SIGN <br /> <br />(J ADDITION <br /> <br />J1ALTERATION <br />(J DEMOLISH <br /> <br />(J REPAIR <br /> <br />(J INSTALL <br /> <br />(J MOVE <br /> <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />~OMMERCIAL <br /> <br />(JMULTI-FAMILY <br />(J INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK :L()ie I \~ (' b \J; '6{ v (),,~ (0 ~ l{" )1, 60 ~ -v~ f~, ++ <br />WCr \ --II "'.'\0 ..-1-/ "rd' 1'\ -1 ' O"../: t>. (\ \ <br />BUILDING SIZE )'"1, Vv )' - SQUARE FOOTAGE -f, ~ \.l /.. \c" r" HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ' <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. . <br /> <br />FORMS. <br /> <br />PERMITS <br /> <br />~d )J[)(LV <br /> <br />REQUESTED C~ b.rJ,1>(l6'-/ V' <br />rN\ ~ Uf1 ,~~ <br />CONSTRUCTION \....t"1 <br /> <br /> <br />ori3'~ILDING <br />IJ-1:LECTRI CAL <br /> <br />$ <br /> <br />95- ,t)OO ~ 00. VALUATION OF TOTAL <br />if 00. AMP SERVICE <br /> <br />(J FLORIDA POWER <br /> <br />(J <br /> <br />W.R.E.C. <br /> <br />~~ING <br />~;HANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />(J SPECIALTY <br /> <br />o OTHER <br /> <br />A\II~ <br />* rile <br /> <br />$ <br /> <br />Z. 2 ~ 000 i OOVALUATION OF MECHANCIAL INSTALLATION <br /> <br />TYPE OF CONSTRUCTION: (J BLOCK <br /> <br />o FRAME <br /> <br />(J STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS [;'/- t tJ7t (l) 6- , <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES It;( NO <br /> <br />SIGNATURE <br /> <br />CON~CTO;R$ECTION I <br />CCMPANY '/~OIZ.I'i ~ J( f.o>TJJ W u, Co.J:jT- <br />v'tO /<. ' <br />STATE CERT OR REGIST # C"yr: !Z5'() 5'90, <br /> <br />BUILDER <br /> <br />PLUMBER ~ COMPANY <br />SIGNATURE V ./dd//J~ STATE CERT OR <br />, <br /> <br /> <br />COMPANy~'7Il/~ {JWlY ~Z;;-yz( (' / vJC, <br />. <br /> <br />STATE CERT OR REGIST # ceo 00 (J-.J b <br /> <br />SIGNATURE <br /> <br /> <br />W**************************i1~************** <br /> <br />COMPANY V .' /1< / ~r; 'f't1 L . <br /> <br />MECHANICAL <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST' # <br />