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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 RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ke.u ,n R y PICA V\ <br />JOB ADDRESS b 4 I d- De-\I'(i ()J. <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />ZeP1,'dh;/b i ::7-L <br /> <br />PHONE ~13" 7&d~OBd-S <br />3,3544. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />OJ.. -d{':)-J-l-COIO -CC(,a> COO <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />WORK PROPSED: Q[NEW CONSTRUCTION D ADDITION OALTERATION D REPAIR D INSTALL <br /> D SIGN D MOVE D DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS D MOBILE HOME <br /> ~COMMERCIAL D INDUSTRIAL D SWIMMING POOL D OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK Site- CltcdiYl Tle~~ S' ~lVtTi~ cf l(\)firtt"">TlL-Jl:N<< <br />4/ AD, A I E:6/~;;' 0.T f2-1:;IfH'. I <br />BUILDING SIZE !~ IT SQUARE FOOTAGE ,IT HEIGHT ~/ <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. .- ~ C ,IJ." 1I\~1v1-L <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. I JLf~L- .~ <br />S\L, f)~()"L %ci\J/(t(1f) frUVl .(& L~tJ~, pfJL f)(L?~fJ) <br /> <br />PERMITS REQUESTED 5/ 'T Ii.-. p~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION ~~~ -c . <br /> <br />AMP SERVICE 0 FLORIDA POWER 0 W.R.E.d!!!J!?-V <br /> <br />1150 r~:;;,~<L I ~T <br />T(l;fi_fL 11 - '..<:> .,- <br />-~, ~t\.. <br />VALUATION OF MECHANCIAL INSTALLATION fittt f} 1}i)d))I~~lt" <br /> <br />D BUILDING <br /> <br />$ <br /> <br />f\) A <br />AlA <br /> <br />D ELECTRICAL <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />~k <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />30 rr~TY:h.... <br />5~t().V fjf; <br />AREAD YES ~~O <br /> <br />DGAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE <br /> <br /> <br />C()~q~;RiSEC'rIQN <br />~ /?--p. <br />COMPANY /1 i 1111'1. J... C>n ~:2 r ' <br /> <br />STATE CERT OR REG 1ST # <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE. <br /> <br />.....,;~ <br /> <br />.. ," _. ".. <br /> <br />STATE CERT OR REGIST # <br /> <br />J... .. ~ <br /> <br />~A~ _-"~ ~ . <br />