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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 ~I .I) ,.. ,} J <br />DATE RECE IVED "r' ~ -.:5 . t/7 <br /> <br />PHONE CONTACT FOR PERMITTING &/]-9d,f- 5"tJ8/ <br /> <br />JOB ADDRESS <br /> <br /> <br />PHONE ~ /j '102 ,f - 5"tJ 8"'/ <br /> <br />LEGAL DESCRIPTION: LOT(S) II <br />PARCEL ID # Itj-~r;, -- ,;2/- OIJI tJ -Oil ()() - OrJ 70 <br /> <br />SUBDIVISION mtJl//'~5' h/'.r/- Addlho/-? <br />. <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: }'S'NEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL <br /> OS IGN o MOVE 0 DEMOLISH <br />PROPOSED USE: 0 SGL FAMILY DWELLING '91MULT 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 /i/~IA/ /JJv'II;:/ '- /-;7/71'1'7 /PeSld C't'?C-- C~ <br />BUILDING SIZE .J 1 x f?' '} SQUARE FOOTAGE ,;2 () () l <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 />o BUILDING <br />o ELECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ G 5,000 , -~ VALUATION OF TOTAL CONSTRUCTION <br />lOOt' ~ <br />~ - -- AMP SERVICE .~ FLORIDA POWER <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br />1111'\\) j;l11tfl,Y1e1f" <br /> <br />(' J ~[)-l i \.', (,4l j} ..... <br />(ll~I\.) j }U~)t) f"rti \w1 <br /> <br />f \. f .. ,', \ \ )'1<\" ( I, <br /> <br />\ . <br />j 1,~\lJ.\" Ii <br /> <br />(" I <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />~. ~/,)("l'?J2.___. <br />$/(:)."~'- <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />pst FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINI SHED FLOOR ELEVAT IONS 8' 'i. S' \ <br /> <br />IS PROJECT IN FLOOD ZONE AREA~ YES ~NO <br /> <br />SIGNATURE .~1?1t/;J.fiC~.-/ ~~Ac<:/ <br />/":/ <br />I ****************************************************************** <br /> <br />C()NTRAC~RSEC'rION I <br />COMPANY A/v'/I? 6()lj11c~/ COI'lS'iii/c.-/iOHfl-:1 <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # C6L Oft;!) ';;>"9'/ <br /> <br />ELECTRICIAN <br /> <br />Ji l:'/ll(' 1 <br />SIGNATURE . ,)....../. t.L~ A. <br /> <br />. . <br /> <br />COMPANY {Y\_(,~fll . C (",ci/, ,_C\ <:. <br /> <br />STATE CERT OR REGIST # FL."" 0 t,1 3 I J '( <br /> <br />****************************************************************** <br /> <br />PlUlB''') . I COMPANY, <;'0 /1J(1;:.(Yr/ t7z6/1;j The <br />I IGNATlJRF, .~/;;/.~, -.fk- i STATE CERT OR REGIlT # {:t-?:JJ,,- t- '{;lO 5- <br /> <br /> <br />**~*****************************************<*****************~**7 <br /> <br />MECHANICl\L ~/11~-- COMPANY { ,on rrcndf ~~'r"'.~ f 07.1 n.j <br />SIGNATURE +!.,r STATE CERT OR REGIST # i\L iJ'fJ61,{, <br /> <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />