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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />It) -/.1- 01 <br /> <br />-' <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME/1'1J c...HA~L. ~Jl.'-JMAN PHONE ~/3-788-~at.J'J <br />/.23AJ/~. 2!=PNyx:.HILLS. J=2. 335#2- <br />SUBDIVISION C!J,y' ~j: ~PhljR)J)1J.S <br />/ <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />JOB ADDRESS <br /> <br />. 38122 <br /> <br />LEGAL DESCRIPTION: LOT (S) ~ I - ~ 1- BLOCK~ <br />PARCEL ID # //-2&'-P') -ooJO-OS80{)-O~IO <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />~IGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />I:OMMERCIAY,..e'C5. <br />o RESTAURANT <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK hJs;-4J../- <br />/,2l!3tJ <br /> <br />BUILDING SIZE <br /> <br />& HEALTH DEPART~NT~PPROVAL <br />RT :t>~cE-r <br />I/rFleE S)6NS: /-#/t'JJJulYlcNT <br /> <br />IP,- <br /> <br />SQUARE FOOTAGE <br /> <br /><J Pt! ,11foU$f:. <br />I;; / ~ "Jr:''1 <br />;' <br />HEIGHT I <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />~COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />~ IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORM~":L <)"0 f?~ G . <br />t> , <br /> <br />< <br /> <br />'~~."C l~~. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <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 />o PLUMBING <br /> <br />o MECHANICAL $ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />INSTALLATION <br /> <br />g/J ~,5''' I &~? I <br />"/ <br /> <br />AREAO YES 0 .~. <br /> <br />( <br /> <br />ZO~ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD <br /> <br />"_0", <br />-~- ---- ,.- <br /> <br />g:-'t?1J1~"';W~;;:~71f<iQ'T"":"~7'";:;:c~rry~~:mj<>=""7'""'--'\-------~~- --- -------~~- ---~~p:~;1?rfiJ'-.~;;~~~r~~ , ." , ~ <br />0\iJ~I,"'I~l;il't9li1f"11j;1!'I' J ,;';j,mL,f; 1;.; ',,' Ie ...,}t\J.il.n~' .54 " I . ' ., !!'Y;h,,10'1Cfu,'J~''Wl~-\;f:~~t,il.,.c~iliC&iJflfiij!i!t~k~~i'I!::1'~ F' <br />~~~~~~~~~~~~~Jl:r::~~~':LjL':_':"~_~____ __~._~~ _ ____~__~~~cl;1~~~~~~~~.J~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />5~ <br /> <br />p~ <br /> <br />COMPANY <br /> <br />ELECTRICIAN <br /> <br />c?- <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 /> <br />;;:THER l l J( ", COMPANY NO f'. t-~ \G.t- ~Dl ,)11 ~ tP <br /> <br />. uJJ.- <br />... j1J# <br />~ <br /> <br />"..... 'f..'. J.. <br />