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<br />~1- <br /><\ ~vf\ <br />\ 1 <br />OWNER'S NAME LflaJreAee </.fJa.lrteIQ <br />SO/j /IlIJ. \fl <br /> <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 />JOB ADDRESS <br /> <br /> <br />DATE RECEIVED t.e jJ..f'lrPi' <br /> <br />PHONE CONTACT FOR PEJ!ASe8:;pERMIT Sf~VICE <br />1 a866-824-7894 <br />Toll Free <br />rl. 33 (slo <br /> <br />SUBDIVISION rl.-~ or &riJ/'~/J <br /> <br />PHONE <br /> <br />PARCEL ID # <br /> <br />LEGAL DESCRIP'l'ION: LOT (S) JJ-/ft, m- <br />IJ-(!) " -e:)./- 0010- ~/S()()- ()jJO <br /> <br />(OBT~IN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: pqNEW CONSTRUCTION <br />Os I GN <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />[) REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />OSWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />.su JIJ LIi.../J.,J <br />, <br /> <br />/LR u/ <br /> <br />1Lon.R <br /> <br />DESCRIPTION OF WORK <br /> <br />SQUARE FOOTAGE ~ tJ ~~ J ivihJ <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & {I) 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. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~?;t\~ <br /> <br />f1' BUILDING <br />0" ELECTRICAL <br /> <br />$ ~ / tf; OOO.'~90 <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />ri PLUMBING <br />~ECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALL~TION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~ BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />2;-0-- <br /> <br />CONTRACTOR SECTION <br />COMPANY !!,'/JC,Ai <br /> <br />J <br /> <br />BUILDER <br />SIGNATURE ~ <br /> <br />l~O.AI 51: <br /> <br />STATE CERT OR REGIST # ,\/300/00 1t <br /> <br />ELECTRICI <br /> <br /> <br />*********************************************** <br /> <br />COMPANY ii~ro;~ &C~ <br />~-a:.B !J'? <br />STATE CERT OR REGIST <<~ '.Z- CI <br /> <br />SIGNATURE <br /> <br />************************************************* <br /> <br />PLUMBER <br /> <br /> <br />COMPANY H, 'J1p N <br />STATE CERT OR REGIST # <br /> <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />I{ jJ1 (/'0/ 8'([rP / <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />