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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 />PHONE CONTACT FOR <br /> <br />DATE RECEIVED 5-1/; 01 <br />PERMITTING 8, J- bJ r~L( 16/ <br /> <br />OWNER'SNAME O;V1~~~- AG'Y-(f~(;jji;) PRONE ~15-L~Y-~J <br />JOB ADDRESS L OjlA/dc'l 1\ ~ 'S:2._ <br />LEGAL DESCRIPTION: LOT (S) Ilb .III '\ BLOCK SUBDIVISION COl-.(,,u1.( f-1 e '1h15 <br />PARCEL ID #i ~ -16'" ).l-t)) ~ 0 \:) ':lOdO '- (/6 () (ORTAIN FROM PROPERTY 'tAX ~O~ICE\ <br />WORK PROPSED: ~EW CONSTRUCTION D ADDITION DALTERATION D REPAIR D INSTALL <br /> <br /> DSIGN D MOVE D DEMOLISH <br />PROPOSED USE: ~L FAMILY DWELLING DMULT I - FAMIL Y 0# OF UNITS D MOBILE HOME <br /> DCOMMERCIAL D INDUSTRIAL D SWIMMING POOL D OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />/!/P/l.-1 j Re>. \1 (P-i:'!l',-( e <br /> <br />BUILDING SIZE ~n:x: ~'-, <br /> <br />SQUARE FOOTAGE ~ <br /> <br />HEIGHT <br /> <br />8'\ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS (1) <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 CONSTRUCTIONi <br /> <br />PERMITS REQUESTED <br /> <br /> <br />SET ENERGY FORMS. <br /> <br />?L!i <br />j?,e. <br />~d"!IIQ~ <br /> <br />[g"BUILDING <br />I!:rELECTRICAL <br /> <br />$ Y s: (\0 J. 0 0 VALUATION OF TOTAL CONSTRUCTION <br />~. (J 0 AMP SERVICE ~LORIDA POWER D <br /> <br />~:E: <br /> <br />KJ"PLUMBING <br />~ECHANICAL <br /> <br />$ <br /> <br />:2 So f) 0 0 <br />,/ \..' - <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />~OOFING <br /> <br />o SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: ~ BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />,ki <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES .9-NO <br /> <br />CO~CTO;R ',SECTION <br /> <br />SIGNATURE <br /> <br />a~~~ <br /> <br />v <br /> <br />COMPANY en 1'V~ Cd:\J/Pvcfi2.l '\ 5~C.5. <br />STATE CERT OR REGIST # (. (;C o.{. 0 G Ll6 <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE 6~y"f ~AI'>f <br /> <br />COMPANY CU~ ( Ik &:.eclit'L <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />L~~ <br /> <br />COMPANY e G .'1 ~{\~(.-ft<.tA. ~I.:.,_t~ <br />- <br /> <br />STATE CERT OR REGIST # CF~ II{) b /6) <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />*******************************************~******************* <br /> <br />.II COMPANY J,I.._/~ { ,!t('_"- <br />.de ~ STATE CERT OR REGIST # eACo5g51~ <br /> <br /> <br />MECHANICAL <br /> <br />*************** ******~**************~************************** <br /> <br />OTHER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST# <br />