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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 eTH St, Zephyrhil1s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />DATE RECEIVED ItJ'lJ -Of <br />PERMITTING 6.2q-lfQbf <br /> <br />OWNER' S NAM~~ L. ~ <br />JOB ADDRESs~p{/tQe\ C \I ( -.3"7110) <br />LEGAL DESCRIPTION: LOT (S) l\S;' I \0 BLOCK <br /> <br />. , <br /> <br />PARCEL ID #/2.-~-:2/-D~o-052c)utJ-IIS/ <br /> <br />PHONE -0- (3 -' 7'71 --- 73 S V <br />009 lV'ooJ ~ 5'hd- <br />SUBDIVISION C()((j~ f ~LiS <br />(OBTAIN FROM PROPERTY T: ~OTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL <br /> OS IGN o MOVE 0 DEMOLISH <br />PROPOSED USE: ~GL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOB ILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK New <br />BUILDING SIZE SS'L >< '-to' \,J <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Re>;A~~ e <br /> <br />SQUARE FOOTA~E:) }"3.:1-8'" <br />u^,(ec roCJ'~ <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 />HEIGHT <br /> <br />~\ <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />Iii' BUILDING <br /> <br />, <br />$ 52,(f00" 00 <br />, <br /> <br />~(){) <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />Q- ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />r/ FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />Iii'" PLUMBING <br />1) , <br />~ECHANICAL $ 3J5oD. ero VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS ~OOFING 0 SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION:~LOCK 0 FRAME <br />I C \\ <br />FINISHED FLOOR ELEVATIONS 'bb Ur 0 <br />ftb~ ce(\/eI \.~e <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />~NO <br /> <br />~fl1~ <br />CONTRACTOR SECTION <br />BUILDER If) =--7 ~ COMPANY ~ G,,,,;h-,,,nw No-/nL <br />SIGNATURE ~ ~ STATE CERT OR REGIST # L(;c.o606'-fb <br />o 1)OI,vl4 L- <br />****************************************************************** <br /> <br /> <br />COMPANY ~2.;< ~ Je Ej~,c.M I'~ <br /> <br />STATE CERT OR REGIST # <br /> <br />*~********************************************** <br /> <br />PLUMBER ~ ( <br />SIGNATURE ~ <br /> <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************** **~**t***** ******* <br />MECHANICAL ) COMPANY , ~ .C_ <br /> <br />SIGNATURE ~...Jvl.tJ&'tJ0I____- STATE CERT OR REGIST # C o5S'i7. <br /> <br /><: -Gr~~.. -:.................................................. ~ <br />~ ~ ~ r A >A</ ,( /r '" +-7'S: ~ <br />OTHER . tl ~ COMPANy- '-t/..,rY C0"r. ./V<.-'- <br /> <br />SIGNATURE - - STM'E CERT OR REGIST # tKAlf. ex; ,-€k::, <br />O~ Cv~ <br />