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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 RECE IVED <br /> <br />ra- '-/1P ( <br /> <br />, <br /> <br />PHONE CONTACT FOR PERMITTINc;(8/j) 9~-5rJcf l <br /> <br />JCm1~PP7 &c:hfe 1 _ <br />OWNER'S NAME ~ :n 1 PHON (fj/3) 9;;)cf- 5'.()g / <br />"/J/t/rJ/J 6f~ ZJ~ '207 <br /> <br />LEGAL DESCRIPTION: LOT (S) / to Add/f/.on <br /> <br />PARCEL ID # j'f-.;J(; -;)1-0.010 -o.?SOO - OJ to (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br /> <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />D ADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />D MOVE D DEMOLISH <br />~MULTI-FAMILY D# OF UNITS <br /> <br />D INDUSTRIAL <br /> <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />, <br /> <br />DESCRIPTION OF WORK AI e w rn /J I f1 '- :fa Ynl'.,c l' ~ ~ I' ,rie 1/1 c r> <br />BUILDING SIZE a 9)( ;;"'1 SQUARE FOOTAGE d. 00 l <br /> <br />HEIGHT <br /> <br />/5' <br /> <br />D BUILDING <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENER~RMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. - ,f. Itts <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ~. I <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION;fJ~1.vtl 1# <br /> <br /> <br />~) S <br />y~ <br />01-1~.C. <br /> <br />PERMITS REQUESTED <br /> <br /> <br />D ELECTRICAL <br /> <br />$ (;G, OO() <br />dOO <br /> <br />AMP SERVICE <br /> <br />D PLUMBING <br />D MECHANICAL <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK ~ FRAME <br /> <br />Oil <br />FINISHED FLOOR ELEVATIONS l) CJbcve ROCId <br />01/" 8'1,5' <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />~3\<1'3' <br />'{ Vi <br />(1 <br />~~ <br /> <br />$ L/~OO.g~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />):KNO <br /> <br />BUILDER <br /> <br /> <br /> <br />CQ~C:T()~iSECTIQN I <br />COMPANL-4/I//Y11Sa~ulel COnSf/urho~ ~ <br />STATE CERT OR REGIST # ~ C/3c t)(PbJd)9L( <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN ~ <br />SIGNATURE ~,^L . ~f)u/\...- <br /> <br />COMPANy/Jl(J-m Flpe fl/'/(, . <br />STATE CERT OR REGIST # Fc 800 3/5'l <br /> <br /> <br />JD<BgRX~HHHHHHH>H':::j':i:HH'1Iu:: HHH>H <br /> <br />SIGNAT~)l.Ie) {;2/t""J. STATE CERT OR REGIST # <br /> <br />MECHANICAL .Ii *;j * ~ * * * * * * * * * * * * * * * ;~~;:: * *k;.;;:'/ * ;.+;r.;; * * + * ~/(~ <br /> <br />SIGNATURE f YY STATE CERT OR REGIST # Cf\c../?J3"7i, <br /> <br /> <br /><?HER <br />SIGNATURE . .. . If.. . ... ... STATE CERT OR"'REGu:s..T'# " <br />/. ' <br /> <br />