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<br />, , 1;jo1 <br />V <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 DATE RECEIVED 7,-9- cui <br /> <br />PHONE CONTACT FOR PERMITTING ,f"1.3-7c!.,(I-33/<j <br /> <br />OWNER' S NAME Pres f", l'n z.. I , <br />JOB ADDRESS 5'9tJO 17~ S+- <br /> <br />-.J trm~.s ~t Cttn.flt Ih <br />'2-<:fl;,..AI'/& F( <br /> <br />PHONE <br /> <br />7/'f-t, ocr/ <br /> <br />33JiP <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID if / / "t'- :z I dtJl() o~tf"fftJ () / t:.u <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br />(]SIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />(]ADDITION <br /> <br />{OBTAIN FROM PROPRRTY TAX NOTI,-El <br /> <br />(JALTERATION ~ REPAIR (J INSTALL <br />(] DEMOLISH <br /> <br />[J MOVE <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[Jif OF UNITS <br />(] SWIMMING POOL <br /> <br />[J MOBILE HOME <br />D OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK l?o/JIf-C.~- tYnk Ct'._ R, }-~ r <br /> <br />Bn -c: 'I ~ :J ~ ~ -1-.> 5 Jzr..-W\.. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />,~ '1 "1; <br />,?/ <br /> <br />PERMITS REQUESTED <br /> <br />[J BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />~ Pro?vC'~s €i? ~y..jtf <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />, tV <br /><&( 17)- <br /> <br />D PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />(] ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES [J NO <br /> <br />CONTRACTOR.SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST if <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN ~ <br />SIGNATURE ~ A-, W~ <br /> <br />COMPANY PI9++, ~ E/~~frl'c <br />ec- t:JOOI.:<t:.g <br />STATE CERT OR REGIST if C/~t _ 7I'.:<~/ <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />COMPANY f'A.I"h~ 6e"'c:.~/; <br /> <br />STATE CERT OR REGIST # (me ~ tJ 5.<;.-'17(, <br /> <br />.,aJ./J.3~ <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />