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<br />. ,I <br />. <br /> <br />. ~. <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-Q021 <br /> <br />DATE REeE IVED <br /> <br />fano,/1t) t/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />/6; <br /> <br />PHONE CONTACT FOR PERMITTINc;(81 j) 9d.g-5(}~ /. <br /> <br />\~~"1<';':"? /~o(hfr:> I <br />, . PHON CR/3) 9d~- 5'LJe / <br />;' / 'l)e: )~., 'Yi) <l <br /> <br />SUBDIVISION /YJOO/'I"?(, Add/:f/;Ji/} <br /> <br />(ORTAIN FROM PROPERTY TAX NO~I~~l <br /> <br />OWNER'S NAME <br /> <br /> <br />) ,. <br />/~., <br /> <br />JOB ADDRESS /..:: E.J/: <br /> <br />BLOCK ? [-- <br />, ~J <br />PARCEL ID # / If '<-~(; <-~)/ . ()f)J/J ._,)5','->'00. /) j t ~) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING '~MULTI-FAMILY 0# OF UNITS <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMEN~ APPROVAL <br />DESCRIPTION OF WORK /ve(/./ f)J // I fl' ,. /~(111 / l' jl f;'(; (' df')t'1LP <br />BUILDING SIZE G? K .J '? SQUARE FOOTAGE ,:). I) (,) , <br /> <br />HEIGHT <br /> <br />/5\ <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. _ ~ de ". A{~ <br />IF SIGN PERMIT ONLY (2) SETS, OF ENGINEERED PLANS REQUIRED. 1 'lJrjA/J'- \ I <br /> <br /> <br />PROPERTY SURVEY REQU::::::~:~:N::CTION~P!i~,~~# s <br /> <br />o BUILDING $ 6' (;', !) ()/) VALUATION OF TOTAL CONSTRQ~, n.~Jy~ <br />o ELECTRICAL ~) () 0 AMP SERVICE~, FLORIDll.~9EY'~ (\1i=t ft\f"'E .C. <br /> <br />o PLUMBING <br />'0 MEcliAiuCAL <br /> <br />o GAS <br /> <br />o ROOFING 0 SPECIALTY <br /> <br />o OTHER <br />ftiFRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />~r.;\<1~ <br />r ,\ e( <br />\\ -JI \ <br /> <br />$ -:;'/l~-I) /) _~L . <br /> <br />VALUATION OF MECHANCIAL INSTALLA'rION <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS r;;' "(}'b..t/t' f\hii <br />",:{""; ')0 \ <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~NO <br /> <br />BOrwtla <br /> <br /> <br />4 <br /> <br /> <br />CONTRACTOR ."SECTION <br />COMPANY ///'//1/7 i?rh-;/'Ie/ C?rlS//tA~/~,_:)i.7 1)~ <br />STATE CERT OR REGIST # ~C/3C O&tJ;>'1(/ <br /> <br />ELECTRICIAN <br /> <br />**************** <br />/",.-r //J~ / ~/C2 <br />, ~J ('VOIr""'6L- <br />COMPANY I I . .~"' /"'-'/ (' . <br /> <br />STATE CERT OR REGIST # . ['CEJOO ~5 /5(1 <br /> <br />SIGNATURE <br /> <br /> <br />;~t, . .' w.~ ~HH HH W"WH'" HH7:7-:T"'V,,;:' 6;;''''' cirL-iCf Z b II e <br />PL~'~~. COMPAN~':> . - d,J1lbf~j ~." <br />SIGNATU";/~)i/lJ,( '(J h"c.A.. STATE CERT OR REGIST # . '- reO f:, '22 J.') <br /> <br />. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ,*! * * ** * * * ~ *1 * * *.. * * * * * .* * * <br />MECllANlCAL . ~ COMPANY H"-"" 1""]"'3. -/ ('-d,nS <br /> <br />II STATE CERT OR REGIST # c!v...IY/'3(P7" <br />f <br /> <br />***************************************************************** <br /> <br /> <br />.?oli; Jlit111rl f/r/~i"1 Me- <br /> <br />l;lvCOMPANY <br /> <br />STATE CERT OR REGIST # <br />