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<br />. , <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 RECEIVED <br /> <br />'1-.:r3-fJ'/ <br /> <br />PHONE CONTACT FOR PERMITTING ("HY) 9 ;;8- ~ -::J6- / <br /> <br />OWNER'S NAME 7dm~fJf?;? ~chk ~ EaChtCl,r ~/,....,..n;') PHONE [,;./3) 9.;23"-S'.o8-/ <br />JOB ADDRESS for 0 ~ttz.\ ~ ~~-z..:~ ~.l:t S-{ , <br /> <br />LEGAL DESCRIPTION: LOT (S) (p BLOCK /1 SUBDIVISION JJ1?L)/'~J ;:;/'~r Adckr/~~ <br /> <br />PARCEL ID # /q-,;)~ -()/ - {} 01 () - 0/10 () -O{)6~OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />Os IGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING ~LTI-FAMILY <br />o COMMERCIAL 0 INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK A/et/ /?lv/h~ m~/ly .t?t==>J"ldc:"""'nc~ <br />BUILDING SIZE d tJ l X ~? l SQUARE FOOTAGE ~ 00 / <br /> <br />IS' <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (I) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br />~O G,l(l.\Jltm~ <br />CJ~ Tl f=t ~ )2- <br />V1-J~ 0(~) (>ttt. ~ll <br />rr~ IS~"0/).d q~ <br />TOTAL CONSTRUCTION 6t= pri'f2W1 IT <br />FLORIDA POWER 0 W.R.E.C. <br /> <br />o BUILDING <br /> <br />PERMITS REQUESTED <br /> <br />$ t9~I.}(j~~ VALUATION OF <br />dc!JO <br /> <br />)( <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />q i" tJ(). ?-!!- <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />3 vJ1 <br />-t1 ~/ <br />-1..03 <br /># J <br /> <br />o GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br />TYPE OF CONSTRUCTION: 0 BLOCK tz( FRAME <br />~ur S- , <br />FINISHED FLOOR ELEVATIONS ~7, <br /> <br />o STEEL 0 OTHER <br />IS PROJECT IN FLOOD ZONE AREA'M:' YES 0 NO <br /> <br /> <br /> <br />~PNTI:t1l.C:~;R,SECTION <br />COMPANy4/(h~ B'aehk-/ G~s-/rvchd,? .:Tnf'. <br />STATE CERT OR REGIST # C/3Ct) 00,;), 9 'I <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />COMPANY J?16/?1 Et~crrd:::. Z'P?C <br />, <br /> <br />STATE CERT OR REGIST # f::cO/,)t:J3ISY <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # CPr!)?,'? d-O~- <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~ * * * * * * * * *; * * *,* * * * * <br /> <br />~ COMPANY l ~'S 1b....J'1J!e f-M1'Y <br />I' W STATE CERT OR REGIST # c.,~ Il?t.'?Il2. <br /> <br /> <br />***************************************************************** <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />