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<br />CITY OF ZEPBYRBILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />9j5!p;/ <br /> <br />PHONE CONTACT FOR PERMITTING /fl.3 -7 J7.:J-ofO).S <br /> <br />OWNER'S NAMEJt2''^-~~~~/J~<L- PHONE ~=<_OJ>~ <br />JOB ADDRESS~~ ~~~-Bt;;~~ 3'7f ~(k..trd.c? <br />LEGAL DESCRIPTION: LOT (S) O.s9 D BLOCK ~ SUBDIVISION (() (?Yfy <br />PARCEL ID # 3+~ -d-i -D/<;) -~-()3,91(J (OBTAIN FROM PROPERTY TAX NOTICEl <br />WORK PROPSED: ~CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE:~FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />DMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK O~ .sf h~ l'€....~,.l l, re~{de..vlc....<=- <br /> <br />BUILDING SIZE b};;/8R)( ~9' ,/4' SQUARE FOOTAGE~..:tD4 ~.t~/ HEIGHT g- <br />/ C"i)'f- <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. ~\~ C <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~O ~ <br /> <br />.~ '? c.,\ l rJ- <br /> <br />~LDING <br />~~RICAL <br />~~BING <br />bJ..11ECHANICAL <br />o GAS ktROOFING <br /> <br />PERMITS REQUESTED <br />$ I ~'~ f)E() ~ VALUATION OF TOTAL CONSTRUCTION <br />&t:J-D AMP SERVICE ~ogress Energy 0 <br /> <br /> <br />W.R.E.C. <br /> <br />$ ~c::; oe-GO VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION:t?1[LOCK <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 81fc) <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # ~ CJ:?;:;' eLj- <br /> <br />PLUMBER <br /> <br />******************************************************* <br /> <br /> <br />ELECTRICIAN ,/l lU2C.~ COMPANYCCC~ 1- j:t, -t e..;:, CI~, <br />SIGNATURE --D~ STATE CERT OR REGIST * _[;;J?CJtJIt/69 J <br /> <br /> <br />****************************************************************** <br /> <br />COMPAN~'W~~ <br /> <br />STATE CERT OR REGIST # {\~ FC'-..' /9...25" b Q.;L <br /> <br /> <br />SIGNATURE <br /> <br />MECHANICALCh*~******* * ******** ***** *********~~~;:~;*~'1*~**** * ~~ <br />\ ~~ <br />SIGNATURE STATE CERT OR REGIST #C.flC,.- V:-S ~ <br /> <br /> <br />******** ***************************************************** <br /> <br />, COMPAN~~C~~ <br />STATE CERT OR REGIST # ~-/.,5;? $~OS <br /> <br /> <br />OTHER <br /> <br />