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<br />CITY OF ZEPHYRHILLS 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 />PHONE CONTACT FOR PERMITTING ffl.3- ?J'.:< -33/9 <br /> <br />OWNER'S NAME fJ,veere5+ f11/).bI/~ Hnne ~rk. PHONE 7tf2--tRl/2- <br />JOB ADDRESS IP/J 3.;< m 1.II/~rvl9 5-/-- ;!}-"c/ {,()3()/J1/.:ve".(,~ 51- 2efAy,rA,:/6 Fl. 33....-~/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />03 ,R,(, AI t?.;J.It?' <br />PARCEL ID # O.3.2L ~ J t?~ /i!} <br /> <br />BLOCK <br />c::> CJ t::><-.,o c.? "l.50 <br />OoN'O 0 q 9" <br /> <br />SUBDIVISION <br /> <br />IORTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />[JALTERATION <br /> <br />f! REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOB ILE HOME <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK reflltc<:: 6r~feF1 j'#P_h'/' /t'le " <br />BUILDING SIZE SQUARE FOOTAGE <br /> <br />'7tri1' Cc-~<f' f')} ~o' ,., <br />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 /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />///~~ V ) <br />(J3L <br /> <br /> <br />" /' <br />" ,...---"'" <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br /> <br />/t9tJ <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />fr&tl" t!':H € t') rY"j1 <br /> <br />~ <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />DGAS <br /> <br />o ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES D NO <br /> <br />CONTRACTOR ... SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE:::-Jf,7 h, ~ .r~ <br /> <br />COMPANY PI9+h ~ E/t!"cf--n'c <br />ec- tJOOI.:l.,-g <br />STATE CERT OR REGIST # C/~t - "'~T/ <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />fj,,#/~ .61!".::/-0; <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # Cmc-o<;~-'I76 <br /> <br />..,J~3.Y <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />