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<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 />;{f~t1t Wcr <br />OWNER'S NAME //5 /l1/:~ " I -z:; c <br />JOB ADDRESS 3ft :'~O'1 (iou~ ;1~, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br /> <br />CJ7--CJ6- ?/- tJL'//6 - tJ6/o0 <br /> <br />oe, 0 <br />(ORTAIN FR(~ PROPF.R~Y TAX NOTIr.F.) <br /> <br />6~jb- 6~ <br />DATE RECEIVED <br />/J'h1,u-c; ~~_ <br />PHONE CONTACT F6R 'PERMtTTING ?5~-CJ.?6 <L <br />~~,- 3r9-/IC? <br />PHONE <br />,r9 7;~ A>';' 4.. ZL' <br />BLOCK SUBDIVISION <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION [J REPAIR o INSTALL <br /> Os I GN o MOVE ~MOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> OCOMMERCIAL [J INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~AA"1t'i. t:A. ~ ..s;."" 0'7 u.J~.. d~_"/ J;;...,16 .0 / ~ <br />/ ./ <br />SQUARE FOOTAGE HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <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 />FOR~f . <br />11 DO. G '::J <br />()Lv 6 - <br /> <br />o BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />/etJ, ~OO, ~/D <br />~/ VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o PLUMBING <br />tJ MECHANICAL <br /> <br />$ <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o GAS <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />~'f,8 A. <br /> <br />o ROOFING <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />[ <br /> <br />~ <br /> <br />CO:NTRACTORSECTI~. :-:;'l' <br />~ ~~LAUIAt~r/l..S.-4..,-L <br />COMPANY" :J. -/7 Y-O <br />. r ~~ I~ ~ c::> () <br />STATE CERT OR REGIST # C-/SC OJ-c)// ~ <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />ELEC'1JR~ <br />SIGN~i <br /> <br /> <br />************************************************************~** <br />- VOh~ <br />l"'rc.J7l"" 'c::.. <br />STATE C REGIST # _k...CX9~( <br /> <br /> <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br />