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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8D St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />~-~3-of <br /> <br />PHONE CONTACT FOR PERMITTING fj / .1--9 (}C- 5"' IJ t- / <br /> <br />OWNER'I NAME ';;;'I"? {'(2 /7 _~,r h ~:map'" ~f'rl?J' PHONE &-/.,l 'l,;J,f- 5'<>8'1 <br />JOB ADDRESS _ 7 Jt ~~__cL 'L _ __ TJ./ __~ <br />LEGAL DESCRIPTION: LOT(S);7 BLOCK /1 <br />PARCEL ID # / ~- d r; - :) I - () () I tJ - 0 I / 0 tJ - 0 tJ 70 <br /> <br />SUBDIVISION mlJ/J/'~f h/'5/- Atld,hO& <br />. <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <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 />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK /J/t>1A/ mV/r/ '- m/'n/7 /?eSI.cIr'p?c ~ <br />BUILDING SIZE :J 9 x-~ 0/ SQUARE FOOTAGE :1 0 (> / <br /> <br />HEIGHT <br /> <br />IS' <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 />fLv0)) j;uiJ}A-17 ~ <br /> <br />CJ;tLll Hu4ljz... <br />PERMITS REQUESTED ~~ i JU:,I) pru .~r1 <br />/'5 O()() o.a ~ ,~s. v.YN\l(JL-. <br />$ U/ I . . - VALUATION OF TOTAL CONSTRUCTION -''':? {).. A ,_ <br />61- J-1uurV\ I <br />dO 0 AMP SERVICE )sr; FLORIDA POWER 0 W.R.E.C. <br /> <br />o BUILDING <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ 9,f-~CJ ~O <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING 0 SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK Pi FRAME <br />FINISHED FLOOR ELEVATIONS 80/,5' <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAJx( YES <br /> <br />Jt!O <br /> <br /> <br />CQNTR1t.G!T!OR.iSEC'1'ION I <br />COMPANY A/vln t5ot"I'1Ic/ COYJ.slrt/ctloHJhr. <br /> <br />BUILDER <br /> <br /> <br />STATE CERT OR REGIST # C6c O(p~;;;J.9'-1 <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE X~ ;1'VttL~L. ~'- <br /> <br />COMPANY fY\-G-Ih - E kd/,-.... TI"\ '-. <br />STATE CERT OR REGIST # F c:..O 0 0 3 IS Y <br /> <br />PLUMBER A' <br /> <br /> <br />STATE CERT OR REGIST <br /> <br />SIGNATURE. <br /> <br />* *****************************************~********************* <br /> <br />MECHANICAL -A COMPANY { le>n Itrnds tW'1l -I CO.J ':C~ <br />1/ .... . <br />SIGNATURE ;' ~. STATE CERT OR REGIST # _ CfjC-i<!IJ671, <br /> <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />