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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 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING (<fiIJ) 1d.K-S!Jk / <br /> <br />:7:"-7:!;~@~!n~~~:~';cmar Profl"rt/~f 1MHONE(~nJ 9,;J3-~081 <br /> <br />LEGAL DESCRIPTION: LOT (S) / fo BLOCK 20 SUBDIVISION M()tJy"~'.s hy,<:1- Add/hOJ'7 <br />PARCEL ID # 1'-I-dC;-;).j-OOIO-02r;OO-O/{;O (OBTAIN FROM PROPF.RTY T~~ ~~;IC;~ <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL <br /> OS IGN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING ~LTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK AleU/ tWiI'J ,.,coJ/UllC/ du/<:, /1 /'~ () <br />I J <br />BUILDING SIZE ). fJ '1( ~ q SQUARE FOOTAGE 2 D.O I <br /> <br />HEIGHT <br /> <br />/5' <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 />FLORIDA POWER <br /> <br />~ ~ "If- <br /> <br />J <br />3 <br />W .R.E. c'J '1 f <br /> <br />o BUILDING <br />o ELECTRICAL <br /> <br />$ ~s'oOO <br />;;J.DO <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />"t <br /> <br />o <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ L;go tJ. C):; <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK )( FRAME <br />FINISHED FLOOR ELEVATIONS g'V above rood <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~NO <br /> <br />'\ <br /> <br />~ <br /> <br />CQ~QTQ:RSECTION <br />COMPANY A/I/IW ZS~t':kk / Cf)Jf6I"v~7-/ow Tnt"" r <br /> <br />BUILDER <br /> <br /> <br />STATE CERT OR REGIST # elk; {)(PtJ d!J 'f <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE cr(~ ..Ji- ~.9.jL'A- <br /> <br />COMPANY M~ ~-M. r:. (.e:.c....t-,., c. ~ < _ <br />STATE CERT OR REGIST # € COOQ lIS '1 <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNAT~~4~/ ./t),l?Jd <br /> <br /> <br />********************************************,*}******************** <br /> <br />""CJfANI~ COMPANY k"h 'J},r-o,'f !-ka,-!-IY;I " <br />SIGNATURE /. ' STATE CERT OR REGIST # C-Ac \J'1~7C <br />***************************************************************** <br /> <br />COMPANY SO Pack P/I//YJI)Jt1.J TI1C'. <br />'/ <br /> <br />STATE CERT OR REGIST # Cl="cP'i72D7 <br /> <br />('cx:fi 1'1.5 <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />