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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 />DATE RECEIVED </-;).. 7 - () y <br />PERMITTINc;(1)1-.:2.:> ) [(03--3545. <br /> <br />PHONE CONTACT FOR <br />Ovb Ila...1 CC>Vpb V"GL +tb VI <br />OWNE~/S NAMEJD.shavt{.Ji1t ~ B\ nC\.Tho..~vo...y <br />70'/.;../ <br />JOB ADDRESS C~o..nc.el' Rot. / Wc-s t- of' A f v DDY+- <br />s -r 2iA 4. rf-t... <br />LEGAL DESCRIPTION: LOT (S) gL{- ~K (<g - WBDIVr~IbN Qa..~p 7- L Eqsf- <br /> <br />;'6 -;J..b - 22 -- OO(D-66~aJ -C>()CJ:::) (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PHONE (81 3) '1 Cot Lt - 73 c; 1 <br />- <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />Os IGN <br /> <br />o ADDITION <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY <br />o COMMERCIAL )9..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 /> <br />DESCRIPTION OF WORK -.Ne.W w",-yeh 0 USe.. ~ Site. WO( \:::.. <br /> <br />"'3 r y ~ · 4Dt../fiJSQUARE FOOTAGE .10 DO 0 1f1 <br />) <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. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />BUILDING SIZE <br /> <br />HEIGHT ~lo / <br /> <br />)2( BUILDING <br />o ELECTRICAL <br /> <br />PERMITS REQUESTED <br />$-12.0 1000. au VALUATION OF TOTAL CONSTRUCTION <br />. <br /> <br />~3C 0 l( <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAS <br /> <br />o ROOFING 0 SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />~STEEL 0 OTHER <br />IS PROJECT IN FLOOD ZONE AREAD YES y( NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />BUILDER <br /> <br />CONTRAqTOR'$ECTION <br />r I''''c.e~ <br /> <br />COMPANY <br /> <br />I <br />~YlS+-''U.C::+l'Oh <br />r;/w ;<t I~~ <br /> <br /> <br />SIGNATURE <br /> <br />$~ <br /> <br />/n~~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATUREX \::~ W ~ <br /> <br />COMPANYvf' - ~l>' - e., ),~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br /> <br />COMPANY (?/l1G5 1Wt~ t.L;}b <br />STATE CERT OR REGIST # ~ Fco 'IIS<;~ <br /> <br />SIGNATU <br /> <br />MECHANICAL <br /> <br />*********************************************.*****~*************1 <br /> <br />COMPANY --fA) all" tlA..-t ~ . <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />