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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPJ\RTMENT 5335 BTIl at, Zp-phyrhi 11 a , FL 335-i2 <br />BI3-780-0020 FJ\X:813-7BO-0021 <br /> <br />I>M'F, MCEIVED ______. <br /> <br />OWNER'S NAME <br /> <br />N~ CJ37~<I/ <br />v;OI.f I ~cvJ. S~ <br /> <br />PHONE CONTACT FOR PERMITTING 7&J- D7;)..lJ <br /> <br />PHONE <br /> <br />7 7 9 ~01(p <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S)' OOID BLOCK 0030D SUBDIVISION ODcJ-O <br />PARCEL ID II D:J.."~ ~ ~d.I- OOa-D . OD300 ~ '00/ L..lO.B.IA1H J!"ROl-t PROPERTY TAX NQII.CEJ_ <br /> <br />WORK PROPSED: ClNEW CONSTRUCTION o ADDITION DALTERl\TION [) REPAIR o INSTATJtJ <br /> DSIGN D MOVE 0 DEHOJJISlI <br />PROPOSED USE: [JSGL FAMILY DWEJJLING [JMUl,T I - F'J\MII.Y Off OF UNITS D MOBILE HOME <br /> D COMMERC IAL o INDUSTRIAL DSWIMMING POOL DOTIIER <br /> <br />DESCRIPTION or WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT J\PPROV1\I, <br />'-I-'I:J a ~ - ? tic. CPff /t or~ . ~ ~fFN<- <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />R~SIDENT1AL: AT'fACH (2) PLOT PLANS & (2)' SETS OF BUILDING PLANS f. (1) SET ENERGY FORBs. <br />COMMERCIAL: ATTACH (3). SETS OF BU I LDING PLANS & (I) SET ENERGY F'ORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />D BUILDlNG <br />o ELECTRICAL <br /> <br />,cJ <br />$ d.S 38. <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R,E.C. <br /> <br />Cl PLUMBING <br />D MECHANICAL ' <br /> <br />$, <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />D GAS <br /> <br />Cl ROOFING 0 SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVA'fIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES [J No <br /> <br /> <br />BUILDER <br /> <br />,,' jli'~M_' ""'~~I"I' J1l'1lJ~~ ' ," '". ',' ':.1; ,nj' ..!'.~ {."<'.:.W), i ":'~,':i:' <br />I ~ U 'oft . ". .'.... " l~' :,.,,:\'.' ". ".t:. 'i." :....1.1 <br />.~ :.I'I"'~' ,":"',~"'R., "" ' f' ,,,. . ',;' '.. '~~ '. """'I.','.:I'~..", ., ....F~l' <br /> <br /> <br /> <br /> <br />d/ D / "'~'~ COMPANy-7cwl 0~ hApi~e.;;;;;;/.' <br />~-pbzr~ STATE CERT OR REGIST ff _ _ <br />.................................................................. <br /> <br />S IGNA'rURE <br /> <br />EL&:CTRIClAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIS! " <br /> <br />*********"******""*"*"*"*""""*""*~*"~*******************"**"**"""* <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />S I GNA'fURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />*"***"""""*""**"****"**"****""""*****"**""*"******"**"*"**""**"*** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />~,~,;"\.~~:r.~'** * " " * " * " * * * * * " " " * * * * * * * " * " * * * * .." " * *~ ** ft * " .,; *' " * " " " " * " * * It .. <br /> <br />0,,,,1<:'.' ,",: , <br />OTHER \.t.o<;:.i'~:~:,< COMPANY <br />(;,\,<f.i<(', <br /> <br />SIGNATURE .('.'!\'\'(l:ctoV1'u'," 'd,,,;' STATE CERT OR REGIST # <br />