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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8D St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />DATE RECEIVED 9 -1.3 -or <br />PERMITTING 7€j-l SS'::'-J <br />(8/J) ~- <br />PHONE 779- ~'f;r J. <br /> <br />OWNER'S NAME <br /> <br />j4An .( 111 i~b1tl <br />3Cj~l}7 ~c:dotOood lp <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # , J -aCo- dJ.. 0.40 . E>VOOO -D~c=tD <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />Os IGN <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />'"Poo I <br />OALTERATION 0 REPAIR 8-1NSTALL <br />Wl,,,,",,- ~ <br />o DEMOLISH ~O~~ <br /> <br />o MOVE <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULT I - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />CJ RESTAURANT & HE~TH DEPARTMENT APY..gy1:' 35' tu/ 8 I w4lU <br />DESCRIPTION OF WORK -:::}.~ crool ~~""- Id/ s..u.IlJ;;.d f Jfl.LiCbuA.J...... <br /> <br />BUILDING SIZE SQUARE FOOTAGE 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 />o BUILDING <br />o ELECTRICAL <br /> <br />'2.. c::. i)4J <br />$ I-^.). \ 55. <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />?,~~LI)~ <br />f ~ -. l j?\"~ (J. <br />'~)-, ~l. f5..1ji..,L . <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />'O~ <br />VALUATION OF MECHANCIAL INSTALLATION >>. ~v{ <br /> <br />o OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />CONTltACTORyiSECTION I <br />BUIIJlER J ." e~PANy-iu"i~ ~r.J~ ~~dD. <br />SIGNATURE~*:*:~~************.*::~:~*~~~:*~~*~~~::*:*~:*~"7L3 <br /> <br />ELEeTlUC~ . A ", ~ <br />SIGNATURE ~~~"" STATE eERT . <br />*****~*~********************************************************** <br /> <br />COMPANY <br /> <br /> <br />PLDMBER .. ~ .. COMPANY~M~.~:~7DO!) ~ ~~ <br /> <br />SIGNATURE~ STATE eERT OR REGIST # ~/<l567J.l <br /> <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATu:RE.......t.C~.. ..?,;,,-:~,,J,w.. :,~~....,}..N.f. .; S'T~~. ,,~'E '0R ..~~if#..,~.' '.';'.~~"" <br />"~,,,,,,h f"~.f l"<l,;t~"'~"~l._'" .' ( "{'.'.""'" _ ""1",-,."" <br /> <br />" * * * * * * * *; *'~f::-j:; * *t'k * * * * * * ** * * * * ** * *t'h"~~* ~%'i.*.j, ** ** * *t't ~ ***~:: *'*!*~ <br />1~;O>~". .4/ "\f Ji/_ /r,'i~S.";~i ;1~",';0~" 'A~')':~' <br />OTHER:, d;i - /fIU-11 IV'" . f-IlJJ 111 . cot~J(~k~~3!:~l:~~-t~ <br /> <br />STATE CERT OR REGIST #.~~y~ <br /> <br />