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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 />~ <br /> <br />DATE RECE IWD <br /> <br />7- - cfl f.;;'. Ut! <br />I <br /> <br />PHONE CONTACT FOR PEFJvJITTING (~/j) tf.)f - j"'O~ / <br /> <br />OWNER'S NAME <br /> <br /> <br />JOB ADDRESS L. <br />LEGAL DESCRIPTION: LOT(S) ~ BLOCK 1/ <br />PARCEL ID # I~- :J.C-;) / -00 If) .-011 00 ~ Of) LI () <br /> <br />SUBDIVISION IJJJtJ!r&5" j:~r.$:f. Add; 'f/~1'1( <br /> <br />(OBTAIN FROM PROPE;T~ ~: ~~T:l.~~ <br /> <br />WORK PROPSED: ~EW CONSTRUCTION o ADDITION o ALTERAT ION o REPAIR o INSTALL <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING MMUL~ I - FAMIL Y 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK A/PIA/ /Jlt//h ..-t::;."12t:'.,y ~P.>/drrlC c-" <br />BUILDING SIZE ,':)9\ ')( ft; (fl SQUARE FOOTAGE :;), 00 I <br /> <br />HEIGHT <br /> <br />15\ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ q, 80() QQ. <br /> <br />VALUATION OF MECHANCIAL <br /> <br />r-EC(lf) <br />[;LG'V'AT) \.w <br />(., Fill'f") (Ie tt~ 71:-' <br />I' , t. <br />W . J:~ ~~1. \.')1 Jtj). t} <br /> <br />It Lli. 1'\ I r \ <br />/ '- (j'-"/\"\{( l~' (J' <br />INSTALLATION )) .. 'j. __.... <br />, . IVLJlVI J I <br /> <br />t <br />,~ O'I)'\l; <br />'1 ,", <br />.1 \J <br />o BUILDING 'J <br /> <br />PERMITS REQUESTED <br />$ (y' 6~ 000. 22- VALUATION OF TOTAL CONSTRUCTION <br />;;J 00 AMP SERVICE bL 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 l8( FRAME <br />FINISHED FLOOR ELEVATIONS fi'7", ,"i \ <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />I S PROJECT IN FLOOD ZONE AREAjg( YES <br /> <br />o NO <br /> <br />cO~~qTOR. '"SECTION <br /> <br />BUILDER <br /> <br /> <br />c;)< ~b/ <br /> <br />COMPANY Ah''';1 ,:!jaC/lIe I {P;-Js/"vc://on .Z/k <br /> <br />STATE CERT OR REGIST # C BcO&, 0;)'9'1 <br /> <br />****************************************************************** <br /> <br />:::::'CGJ, )1. 'tit. ,Q" <br /> <br />\ <br /> <br />COMPANY /JJr':;'/J1 E.?p("'/J'"/ (-' 4eJ c ' <br />STATE CERT OR REGIST # P('(}()Oc';; /S~'-I <br /> <br />~* * * *~* *~'!:> * * * * * * * * * * * * * * * * * * * * * * * * * *.* 11* * * * *. * * *,* * * * * * * * * <br /> <br />)(' . ,.'.. 70 (q l . {1j{J11 (\ CFL./ 'Z ~ II <br />PLUMBEW" . . COMPANY; , <br /> <br />IIGNATu~~~l;;;A'22 ;f?.-r! STATE C~RT OR REGII~ # <br /> <br /> <br />*******************************************/~tJ****~************** . ' <br /> <br />MECHANICAL //J,~,~. COMPANY 'C/,' )1 h,,'I. 1<, IJ,., ,~l~>.,; . ~~I :/IN <br />SIGNATURE ~' STATE CERT OR REGIST # C,}):"/c";h,;>E, .,,€,,,, <br />p <br /> <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />