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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8D St, Zephyrhil1s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />&/::27/61 <br />. / <br /> <br />PHONE CONTACT FOR PERMITTINGC~ljjl3' J--O~ I~ <br /> <br />OWNER'S NAME_~noJd ~ O/~ 'eA.~ <br />JOB ADDRESS 3 ~ ~ 10 \ d.- +t--. J4veJ..1lLe... <br /> <br />PARCEL ID # <br /> <br />iD <br />i \- c1lP- .2\ -00' 0 -DS 21)0- 00 \0 <br /> <br />16~~ PHONE '213) 7~3'-'9.s-, <br />Ze.p~{ "'" H ~ ,R 3354 >- <br />BLOCK 5 ~ SUBDIVISION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />(OBTAIN FROM PROPF.RTY TAX NOTICE) <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br />(J SIGN <br /> <br />o ADDITION <br />(J MOVE <br /> <br />(JALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK Y'e..b\.U \cl hem t c1\A.'<. +o.Qre.. cl~ {.... <br />BUILDING SIZE SQUARE FOOTAGE \ dro <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 />Ei BUILDING <br />c;;r'ELECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ (s; SILCC).OU VALUATION OF TOTAL CONSTRUCTION <br />.. ~O <br /> <br />1-. ~ ,n <br />.~'?/ <br /> <br />AMP SERVICE <br /> <br />~ FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />~LUMBING <br />~ECHANICAL <br /> <br />$ <br /> <br />37<XJ .CJ) <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAS <br /> <br />o ROOFING (J SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />o FRAME <br /> <br />(J STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~O <br /> <br />BUILDER ;;-- <br /> <br />SIGNAT~~()~ <br /> <br />C()N'rElJ\.c:~;R<$ECTIQN <br /> <br />COMPANY! e.Y\Br ,'("\ \1-~ .~\oJ-~s~\.(' . <br /> <br />STATE CERT OR REGIST # C&tC..Gl.(34 d- d- <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY ~ -hn f\tttr\(......~. <br />STATE CERT OR REGIST # 2:C, 3>ODI38"3 <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE ~-:: ~ ____4~ --= <br /> <br />COMPANYA~c..h \ ~'Pll)....Wl-b '~ ~(.. <br />STATE CERT OR REGIST # ~re... OLl 17;;>...1 <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />COMPANY c:~~~ C!~t:~. <br />STATE CERT OR REGIST # CAC-l gl3 'SlCj <br /> <br />~~~~ <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />