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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8T11 St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />7k/oY <br /> <br />OWNER'S NAME <br /> <br />F>>C.LAJ./,) ~eAJJjdl/ <br />31 tfL(o /f! ~ ,~PCl/h ,4'y <br />.3~ <br />3Y-;:;>,,-:-';;?j. Ol?f'o. rY/dlJn-CJ3tjO <br /> <br />PHONE CONTACT FOR PERMITTING $3- YlJp.. /9'9 ! <br />~K ~/3-~/;2-7/j'iJ <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION (;.(/.(/7) $;~/:ZIU)J Ms;1 <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: LJNEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE:OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />~STALL <br /> <br />o MOVE <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~BILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />SeT .A.-p <br />DESCRIPTION OF WORK Z_f/,r/"'//LL, ~C/) J1J ~ t'!n~.l -:r <br /> <br />BUILDING SIZE <br /> <br />:3 ;! '-.k $,""6. " <br /> <br />SQUARE FOOTAGE <br /> <br />/7'12-- <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2') PLOT PLANS & ("2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br />a:rELECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />-If.3;2. ,3/ <br /> <br />$ <br /> <br />7~- (;//./" VALUATION OF TOTAL CONSTRUCTION <br />,. <br />~ /10 ">.".- ?;laG'~ est /~t',ec?fC.. <br />~l/ AMP SERVICE ~ FLORIDA POWER ~O <br /> <br />W.R.E.C. <br /> <br />PJ" PLUMBING <br />n;:(MECHANI CAL <br /> <br />$ <br /> <br />2 <Ie" <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o:rOTHER yn tf <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES 0 NO <br /> <br />CQ~TOR.$EC'1'ION <br /> <br />BUILDER <br /> <br />C #A/Z/.. ~ s -120tJt'~ S <br />Lk~,,-~~ <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # f/l.0(7r?t:'b<J7 <br /> <br />****************************************************************** <br /> <br />ELECTlUClAN 'Bsc-<r.E. C,UIA// p1~ COMPANY .47LAV"'~ .1"", 'JVP'l(y <br />SIGNATURE ~ ~. ...J'!~ . / STATE CERT OR REGIST # ~(! -000.::113? <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />e /!A/G~t'') ~6l'"~S <br /> <br />SIGNATURE <br /> <br />;> --7 <br />c.//n. ~J /" 4"",~ <br /> <br />COMPANY~..{..?/ ~/€ 730/ {?c,A).j';/ <br /> <br />STATE CERT OR REGIST # ~# OcJOO6'tl",/ <br />/ <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />I3~LL~ L r?7j?T <br /> <br />,,' . A _" ..-1- <br />/J-e-~/ ~~- <br /> <br />COMPANY /1/2/?Il/T/... J;.e. .; ~rO?PL'v <br />I <br />STATE CERT OR REGIST # f? A {! (J ,/,1:7 <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />. "I. .' . 01. ~, <br /> <br />COMPANY <br /> <br />~,'" {t; <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />