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<br />.. <br /> <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 />~ <br /> <br />PHONE CONTACT <br /> <br />~-C:<3-otJ <br />DATE RECE IWD L f- <br />FOR PERMITTING (8IJ) t!.)f - 50g I <br /> <br />OWNER'S NAME ~/11e::~h Ie I (,!OC/?1t2r ~b PHONE (~/3) 1.;Jff- 5'LJf? / <br />JOB ADDRESS La:!- L7' __@).- l{~ '-) J) 5tff . <br />LEGAL DESCRIPTION: LOT (S) L.j BLOCK I I SUBDIVISION mL?V'A'E5' 7Yrs,L. Mdt ~/LJ~ <br />PARCEL ID # /~-;;).(;-~/-OOI()-OIIIJO- OOLfO (OR~AIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: )8:NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING ~LTI-FAMILY 0# OF UNITS <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK A/f>tA/ I?1v/h '-f2u11/,y ~ps/deP'7c e. <br />\ \ <br />BUILDING SIZE ;)9)( ~ 9 SQUARE FOOTAGE ;;2. 00 I <br /> <br />HEIGHT <br /> <br />J 5' <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) 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 />o PLUMBING <br />o MECHANICAL <br /> <br />$ ~ 8-00. Q.2- <br /> <br />VALUATION OF MECHANCIAL <br /> <br />RoaD <br />hU;VY1TJ ~ <br />CB~~ C2f)Aclt/L <br />~ \01 Xh-tJ <br />w. .E'.C./' <br />fVUO~ -r~~ _ <br />I~~VW(~ OJ <br />INSTALLATION OJ9 () ,. Ii - <br />.[ ,V~VI) , <br /> <br />'x1~ <br />~ AyO .~\{I <br />0' <br />o BUILDING II-) <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE b( FLORIDA POWER 0 <br /> <br />o ELECTRICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK J8( FRAME <br />IDb &:- \ <br />FINISHED FLOOR ELEVATIONS ~L <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREA)${ YES <br /> <br />o NO <br /> <br />BUILDER <br /> <br /> <br />C()~QTO~\.SECTION <br />COMPANY Alv/~ ~C/Chle I CpI'16/rVC~Oh .Zhc. <br /> <br /> <br />STATE CERT OR REGIST # ct3COtPO;)QCf <br /> <br />****************************************************************** <br /> <br />ELECTRIC~ 0\ <br />SIGNATURE ~ 11 ~ ~ <br /> <br />COMPANy/?Jc.m 5Lpc-/P"'lr T"c-. <br />STATE CERT OR REGIST # prOooc'? /5''-1 <br /> <br />X~~ * * * * * * * * * * * * * * * * * * * * * * 70*1: 7* *f lu*;' * *.* * * * * * * C F; */'1OZI.r (~~ <br />PLUMBER ~ COMPANY' ~ <br />IIGNA~..Jf/;Jj) ;#Yf} STATE CERT OR REGIlT <br /> <br /> <br />*******************************************~********************* <br /> <br />MECHANICAL /!J,/f) ____ COMPANY kOA .J::i-~ ~ I-b,,~ 1. ('~It?:p. <br /> <br />SIGNATURE ~ STATE CERT OR REGIST # C~/~/36A: <br />f/ <br /> <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />