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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 />DATE RECEIVED <br /> <br />'1/2~/uy <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER' 5 NAME _f\br\\l \ (1}nf\\ PHONE (~l~-)) l~5( -S5 ;Ut_ <br />JOB ADDRESS :)<)( 2-1 fyo.tt ~')LL\C>\JQ(C\ ~ '1 Orh~~"'\ \\~~ 1-\ ~3~41. <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />PARCEL ID # jJ - ~L,- ; I - ()O) 0 - O/:<.DD -()()70 <br /> <br />(ORTAIN FROM PROPERTY TAX NOTICEI <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br /> <br />[J ADDITION <br />[J MOVE <br /> <br />[JALTERATION <br />[J DEMOLISH <br /> <br />~ REPAIR <br /> <br />[J INSTALL <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />~COMMERCIAL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~t:>l~_ 4-J:j-~ d~{jg. <br /> <br />SQUARE FOOTAGE HEIGHT <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 />[J BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />& (1) SET fNERGY FORMS. <br />FORMS. ~ <br />) cry6. C--(:) . <br />,/ .~u/J~lj) c; r <br />/)10' <br />"3-;: ~.\ Ji\.:lL \. <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />~LORIDA POWER <br /> <br />o W.R.E.C. <br />.? ), -. r~ Mlit)}. <br /> <br />[J PLUMBING <br />o MECHANICAL <br />[J GAS ~FING <br /> <br />TYPE OF CONSTRUCTION: ~CK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />o OTHER <br /> <br /> <br />$ <br /> <br />~56 O~ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />[J SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA <br /> <br />COwraAC~J{SECTION <br />-, ~ (~ <br />BUILDER) . n COMPANY (::::nMl\ O,(Q \n0frl?f\t ()m(Y1ri~ <br /> <br />SIGNATU~,(~/ll ~~~A) STATE CERT OR REGIST # CJ~t.,O\()q2.~ <br /> <br />ELECTRIC <br /> <br /> <br />************************************************* <br /> <br />COMPANy1'n\}'\r\ \-\'1 d )rd 2.-\Qc.-\-\\G <br />I <br />STATE CERT OR REGIST # t C..r)()() LCS 7() <br /> <br />/ <br /> <br />******************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />****************** **************************** ********************'. / <br />, COMPANY ~\u..t~10(n 01rY\>-=k)d f'rlff7rpr-i.~_ <br /> <br />? STATE CERT OR REGIST # (:f\('J \~ \ ~Slq <br /> <br />MECHANICAL <br /> <br /> <br />********************** ***************************************** <br /> <br />OTHER~~ t:::;;:::. <br />SIGNATURE ; ~ <br /> <br />COMPANy"\?J\()C' 'L ~n (~o/{i \ Yl3 <br />STATE CERT OR REGIST # CC t 057957 <br />