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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 />DATE RECE IVED <br /> <br />tJ-t2. tf-ol <br />! <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME {3 E L - /I III E ~ 7iJ {t:;:5 PHONE (113)' 7ff3 - 317? <br /> <br />JOB ADDRESS 3751 !.4UlZec. ~LGE~/Jt.t.!q/ ZG/J/./}42.;!;I.G5 In., 35540' <br />/7.7 - "25Z? I I / <br />LEGAL DESCRIPTION: LOT (S) "2410. 2Sz;. BLOCK SUBDIVISION #/;/&71<:: fJAKS' <br /> <br />PARCEL ID # ;< 'f-~io ~ - t[;e:CJo - c>c>/ro- 0090 (OBTAIN FROM PROPERT~ TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION 0 ADDITION oALTERATION 0 REPAIR 0 INSTALL <br /> <br />PROPOSED <br /> <br />OSIGN <br />USE:~L FAMILY <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DWELLING <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />.&~~1AHXk1 SAkJ~I<2f"> $-~ A~ I2v~MMJ/1 WII%/!. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /><t) I ) L '"L 0 Y f!t..\..) <br /> <br />~f J~~)1A\~~ <br />~9l. " 13L))~, <br /> <br />o BUILDING <br /> <br />$ <br /> <br />I <br />5:}-! (l(),.,) <br />, <br /> <br />/)~i <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. ~ <br /> <br />$1,7 .., 4 <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />,. <br /> <br />~ER St:: e. de.s~(pi-./tNov <br />of~ U9~ J <br />IN FLOOD ZONE AREAo YES ~ NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY)o e~ .H <br /> <br />f!tvu. ~e,t..\J .L.,vr <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />STATE CERT OR REGIST # Y C (-t<::..oL, 2.'t&l <br />********************************************************** }V~~~ <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 />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # _ <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />~ ').', t- <br />" ::t< <br />