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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 RECE lVED <br /> <br />#)'1~'i <br /> <br />...'\ <br />OWNER'S NAME {.,III/;t! M 'f({ Kv IJ ~M ~T tL <br />'\ JOB ADDRESS .3 g- 79/ C C1 C/ A/ J'- y;eel. 6-~ E. <br />LEGAL DESCRIPTION: LOT (S) 33- 3319- BLOCK <br /> <br />PHONE CONTACT FOR PERMITTING <br />11 ~1r 1(( {') ~ L~~/{ Yf. ~...r 7<j(j - ~ S / / <br />PHONEcg/3J:/II -59Er <br />2.~//s /?:.f/()w<- 711 -C?~()1 <br /> <br />f.t, IIo"j Mjt.- <br /> <br />SUBDIVISION 5~j91 <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PARCEL ID # <br />WORK PROPSED: []NEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: []SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o ALTERATI ON <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o ADDITION <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~OBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />/4i9' <br /> <br />SEr-Up <br /> <br />/) )l'J'f JI/#d/t 6. //&?M€ <br /> <br />ll'bk /h(';cU,( <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) 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 />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRU <br />(!1'. FLORIDA POWER <br /> <br /> <br />PERMITS REQUESTED <br /> <br />.~ BUILDING <br />. ~ ELECTRICAL <br /> <br />~ PLUMBING <br />:0 MECHANICAL <br /> <br />$ <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: [] BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />BUILDER <br /> <br />GOwrAAC~:R>.smCTIOliJ <br />COMPANY . oh /J/ € ~ <br /> <br />SIGNATURE <br /> <br />v<2~ - ,</L~# <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE ~~;.,/L --X/L<~,;:4 <br />......, , <br /> <br />COMPANY' t? tv /l/ ~ <br /> <br />STATE CERT OR REGIST # <br /> <br />*************************-***************************************** <br /> <br />PLUMBER <br />SIGNATURE J/::#({$L-~ <br /> <br />COMPANY tJ VJ /J/ ~ /1... <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />yil <br /> <br />COMPANY <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 />