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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 RECE IWD <br /> <br />10 IN! 1J( <br />/ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />. <br /> <br />OWNER'S NAME -IYLL(~..h.a.eJ VV\.ll.. Y\V\ PHONE~\:') 78:d-d./4-Cr <br />JOB AD~'J~; ~ ~~ ~{. <br /> <br />LEGAL DESCRIPTION: LOT(S) ~ BLOCK ~~ SUBDIVISION <br /> <br />PARCEL ID # 14'" ~lR- ~ 1- 0010 - o::,S{){') - no 70 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <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 />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK b\&. . -=-j \ .. ~ ~ l, r'( ~~ ~e.\^-< e... <br />BUILDING SIZE SQUARE FOOTAGE '~~I <br /> <br />HEIGHT <br /> <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. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <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 FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. ~ <br /> <br />* ~~\~ <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES 0 NO <br /> <br />BUILDER <br /> <br />cO~qTOR~ECTION <br />COMPANY -re~ 'Br~ \'\ole ~ A-~5:.E:C. 7..",-,- . <br /> <br />SIGNATURE <br /> <br />/L..L L 2s:>( <br /> <br />, <br /> <br />STATE CERT OR REGIST # CG C D'-t 3.4~J- <br /> <br />****************************************************************** <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY YY\1-rl-', n Elee-+V-: c... ~# <br />STATE CERT OR REGIST # Ce... t 3CO \ ~"&' '~ <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />c:..~4~ <br /> <br />COMPANY ~.lI\. "5c.-h kM&.", PLu~; ~ C~. ~ <br />~v1ft.o <br />STATE CERT OR REGIST # C,F"C.O\.f,7~ I -I_pM; <br /> <br /> <br />******************************************** 1t' <br /> <br />COMPANY -:SC\..l-"t-heYh ~ V\-L~r+- EY\....{ . .. ~. <br />, <br /> <br />STATE CERT OR REGIST # C-.Ae.- \ i J 357<7 <br /> <br />PLUMBER <br /> <br /> <br />SIGNATU <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />