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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 />f..,," :~ <br />i._'..'I(,o I c- eo- <br />,<II (I V ~ d..-l - eLf <br /> <br />PHONE CONTACT FOR <br /> <br />DATE RECEIVED .5 -~ ()- 0,,/ <br />PERMITTING (86~) 00888/0 <br /> <br />OWNER'S NAME /10 V./~/l pre/? ~ <br />JOB ADDRESS 38100 vVl/l1~r ct <br />/ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL IV # (felbi((OCOoCXJ:1-0CXJOOO <br /> <br />PHONE 782, - 66- ;(;;.. <br />,:Jot; . ,,'I t ~ -- ) It / 5 <br />t,.Jt 1'.Jtr '; / 11 <br />SUBDIVISION Wl rvit.-y JtIIO~1 ( ~om(' , <br /> <br />(OBTAIN FROM PROPF.RTY TAX NOTICE) <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION ~ADDITION <br />(JSIGN (J MOVE <br /> <br />E1ALTERATION <br /> <br />(J REPAIR <br /> <br />D INSTALL <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />DCOMMERCIAL <br /> <br />(JMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />pr MOBILE HOME <br />D OTHER <br /> <br />DESCRIPTION OF WORK <br />BUILDING SIZE lt~Xlz <br />, <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />00..rr ~/ S&r~frJ faJ/Y? j ~ (J:Jm~+c.. J hrb, <br />/ /) '" <br />anl /1.Xt6 SQUARE FOOTAGE HEIGHT <br /> <br />lA/oci du,k <br />lOB" <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 />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />r:gI BUILDING <br />ri ELECTRICAL <br /> <br />$ 19'1:>00 <br />,J.}..O <br /> <br />f1.?~.O fiL~\J)~ <br />Cl7Lr,hu4.fh- ?If <br />PERMITS REQUESTED (l..bJt0i1u;JJ u.....O' <br />VALUATION OF TOTAL CONSTRUCTION y/Llu(L ~ <br />~ <br />D W.R.E.C. f2..fi"{'lW <br /> <br />D FLORIDA POWER <br /> <br />.~. ~~t~ ~ <br /> <br />AMP SERVICE <br /> <br />(J PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />.._~.~\ <br />\ <br /> <br />fi 5' ~ .:5'~ &U)6 \ <br />~S-<" <1J~ I~U\.c." 'i <br /> <br />(J GAS <br /> <br />D ROOFING <br /> <br />(J SPECIALTY <br /> <br />(J OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES (] NO <br /> <br />SIGNATURE <br /> <br />CONTRACTOR ......$ECTION <br /> <br />COMPANY <OJZ.tlt\PItY\.. 6ikmlYlvl\. 'If tt.!1ntc. 3;..W1frpt/. <br />A..lC <br />STATE CERT OR REGIST # R~OO''f'-(2) <br /> <br />BUILDER <br /> <br /> <br />******************************************** <br /> <br />COMPANY C 11ft') r; ~j." l)ec. <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 />STATE CERT OR REGIST # <br />