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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 />PHONE CONTACT FOR <br /> <br />DATE RECE IVED ~ho) () f <br />I ( <br />PERMI TTING ~/3' ~~!. J.~ 03 <br /> <br />OWMER'S NAME (~O~ 7:lol~j <br />JOB ADDRESS 900 L \3 <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />D SIGN <br /> <br />(ORTAIN FROM PROPERTY TAX NOTlr.El <br /> <br />t2J..ADDITION <br />D MOVE <br /> <br />[JALTERATION <br /> <br />D REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOB ILE HOME <br />D OTHER <br /> <br />c:J RESTAURANT & HEP~TH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~.~ ~) l V\."\e.;(. \ 0 (' t<e..l(\I'..DJe..L <br />BUILDING SIZE 'i:A.fs. t./ SQUARE FOOTAGE ~'o <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 />~ BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />~ <br />)y~~~ <br /> <br />PERMITS REQUESTED <br /> <br />/11 ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />j):- f\l~'" pfih^\T <br />'-NlIL ^>>))~ <br />VALUATION OF MECHANCIAL INSTAJ....LATION {L)j...f /J 6 1"\}).\' <br /> <br />: ::: 0 STEEL 0 OTHER w~~ ~ 1 <br /> <br /> <br />IS PROJECT IN FLOOD ZONE m ~~ <br /> <br /> <br />CONTRACTOR ..'.' SECTION <br /> <br />COMPANY~I~{;t::I)'\S~b~ ~. <br />Oer~ -:3'c)~V'lScN'- . <br />STATE CERT OR REGIST # t2&~'R,;>..;)...cto 3 <br /> <br />D PLUMBING <br />~ MECHANICAL $ <br />o GAS r:iROOFING 0 SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />BUILDER <br />SIGNATURE "h.Q, '2. ~ t <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY 1A4/~IJad... (bJ.J~1-: t:fL(~~. .TJ..:J( _ <br />I " <br /> <br />ELECTRICIAN <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />L~2/Jc4 <br /> <br />. . <br />COMPANY (l1//(eS 131/(,e <br /> <br />f t-U Jt,tb/;J6 <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br /> <br />*************************************************** <br /> <br />COMPANY l/~(j.v11 ~A J c€ 5 <br /> <br />MECHANICAL <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER~ R~ <br /> <br />SIGMATURE' - f' -- - <br /> <br />***************************************************************** <br /> <br />~A7fs- <br /> <br />R ~of-- Pl'o <br />COMPANY-- <br /> <br />o-t 1q~ (J4-V I TV, <br />(CCO(7/gLI <br /> <br />STATE CERT OR REGIST # <br />