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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 aTH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 ffr/;;2 rO Y' <br />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING 7;2'7 .57'6-/3 G Y <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />~~e.. i:\- \2.. \ 4 ~ <br />~f ~l ,.(" 'h~ \ \ c:.., <br />\ <br />BLOCK <br /> <br />PHONE <br /> <br />OWNER'S NAME ~\C')('" v.... ~)~~ <br />JOB ADDRESS I?~W. 7_ h-c::>-.\ \ \?-:'\\ld <br />. <br /> <br />~ L. ~3SL\ 0 <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # "3~ - 25 - Zl -(X::)U:) - D7200 ~ OC:t:::X:J (OBTAHf FROM PROPF,RTY TAX NOTICEl <br /> <br />o MOVE <br /> <br />o ALTERAT ION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />Os I GN <br /> <br />o ADDITION <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />-s:..'f'\,,>*o.\\ a.(\a\ C o(\n-e.....-\-1n\'"'\ C)C\\L1 ~ ofC'. ~~L)c::::>-..) c 'n<=^1'i'5c-d <br />(c- -I' "5 {-O'" u,....,,~) E.ct.,";f'(Y"Ie-n+ c,;uf'f>\~~Q 'oL\. C'0S Mer C:l\ocv.. bVcSfer <br />SQUARE FOOTAGE HEIGHT <br />v. <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 ~NERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />BUILDING SIZE <br /> <br />PERMITS REQUESTED <br />- <br /> <br />~.. ~~O'?) <br /> <br />o BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />~ECHANICAL <br /> <br />$ <br /> <br />"'3 0\\ <br />, <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />~OTHER <br /> <br />. ~ .4 <br />,:0)1)I,fe~ Ii/; <br />) LOX{ <br />(/?7 <br />. ,-:}O C;~ 16-7V <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />~THER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />. ".," '. ,.. ",,- . <br />G()N~qT9R-r,"aEC'r:t()N <br />..:', . '.......'...,.'..:'."':,_..:.:'..-;:",,.........:,..., ..-.... .'...,\- -::'.'" <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <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 />SIGNATURE <br /> <br />****************************************************************** <br />COMPANY -:s..",A\I-s+-r\o.\ f?,v ~ \d.; n~ "'5eAV ~ C e'~ <br /> <br />STATE CERT OR REGIST # CAe. i p., \""3""3i.... ~ <br /> <br />~ <br /> <br />MECHANICAL <br /> <br /> <br />********************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REG 1ST # <br />