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<br />CITY OF ZEPHYRHLLLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />1(-:23 cl)ij <br /> <br />PHONE CONTACT FOR PERMITTING (f/IJ')9;2?-5'Oti / <br /> <br />OWNER'S NAME JalJ1C'.3-.p;7&~chlc~/L:bCJ110Y'~11:9>>e/'l'a;r PHONE (;;/J)q;L~-5-{);;1 <br />JOB ADDRESS L.'ol g )"qO(,~' ),\{~ \ \ . ~)-- '[;'I (~--i . <br />LEGAL DESCRIPTION: LOT (S) g BLOCK // SUBDIVISION /J1tJtJ,e'J 17r~'I dd,l"fIP'1/7 <br />PARCEL ID # /'Y -/Jr; ,(9- / - IJ 0/ f) - 0/ j 00 ,,00 gO (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING ~LTI-FAMILY 0# OF UNITS o MOB ILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK /Z/C'W $1//1-/' -;:::01/'1'111'1' /ft"':J'(:dC"/?L (~ <br />l I <br />BUILDING SIZE ,')1} \?<; C; '1 SQUARE FOOTAGE /~OO / <br /> <br />HEIGHT <br /> <br />f' , <br />I,~ <br /> <br />o BUtLDING <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. J (" lJ) \; l i"J OJ /".;\{ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. '. , <br />rl I) i JI f cfJ 11) <br />1) ,ill( ,)(\ <br />{JJ;(('II r\\~' <br /> <br />[i., r:, \\ l~"tfl j <br /> <br />o W.R.E.C. ( ,I <br /> <br />Ill} ,Ill d i . <br /> <br />PERMITS REQUESTED <br />$ C;; b~ OO{). ?!,.,2-. VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />;)00 <br /> <br />AMP SERVICE <br /> <br />~ <br /> <br />FLORIDA POWER <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />L/ g () O. ,2.2--- <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 />iX FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS 80/', ~- \ <br /> <br />IS PROJECT IN FLOOD ZONE AREA~YES 0 NO <br /> <br />CONTRACTO:R ,', SECTION <br />BUILDER COMPANY6A/,/li1,rsaL.11k! (-bltflr~'/~dt? 2. <br />SIGNATURE r~t ~/U;/ . STATE CERT OR REGIST # C.tJcO'itJ;;l 9 't <br /> <br />,,/-- <br />,~,/ ****************************************************************** <br /> <br />ELECTRIC~' <br />SIGNATURE ~; \ <br /> <br />)( \')(LlcJ_cc ~ <br /> <br />COMPANY J?J6-/}1 C/c'-"C't'Y,f' .7nc.. <br />STATE CERT OR REGIST # L~(:"v 003/ S" c.; <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE ~;2c1) >l3:(:/: <br /> <br />COMPANY5~/), /Vr'l;- /It//11!J//?.y 2;'a::-' <br /> <br />,/ 1....-..-. <br />STATE CERT OR REGIST # c."Pe:... () 5 7 dO:'; <br /> <br />SIGNATURE <br /> <br /> <br />;' <br />****************************************************************** <br />COMPANY r~l".j' .j}C/1"l'/1 t-I.-.-'tlv:J' '1' (h..II'::5 <br /> <br />STATE CERT OR REGIST # <-"lk. /.W j-' /'t., <br /> <br />,..,------... <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />