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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 RECE IVED <br />PHONE CONTACT FOR PERMITTING '7~L - 375-7 3ct) <br /> <br />OWNER'S NAME--1}1arfcn m~ e.rs PHONE F/3-7t~-~6;;).'i? <br />JOB ADDRESS C, l o~ I R" *1 ;;:+-. 2. 1-1, FL. -2354<-1 <br /> <br />SUBDIVISION <br /> <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # O';} - :J c;, - ~ \ - 0180 - 00000 .4 OL/ on (ORTAIN FROM PROPERTY TAX NOTICEl <br />WORK PROPSED: DNEW CONSTRUCTION D ADDITION DALTERATION D REPAIR ~ INSTALL <br /> <br />D SIGN <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />DCOMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~t(JretY1f...llk Wlhl'JlO\..i r:-., ~a,yvlf ~'Lf.-i <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />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. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. f3i-j)6. (07, '5 0 <br /> <br />PERMITS REQUESTED <br /> <br />}( BUILDING <br />D ELECTRICAL <br /> <br />$ ~J 3~SO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION:)6 BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br />STATE CERT OR REGIST # <br /> <br />I <br />Cen..~(A~n(j. <br />Cee - O,C).8oG +- <br /> <br />BUILDER <br />SIGNATURE ~1'P Ue-", Ac-kexWlo (\ <br /> <br />CONTRACTOR,.SECTION <br />, '", .', " .." "..",,':.. ; .. ""I;"" '.':'~-.~" ...." ..', --.. "-,' .. :'" .. .. -, ". <br /> <br />COMPANY Fc-KP J mCUl <br /> <br />****************************************************************** <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 />STATE CERT OR REGIST # <br />