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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 />/0 -~-UC/ <br />DATE RECE IVED <br />CONTACT FOR PERMITTING 3'5 l. ~2- 1 '1- L (. l'-f <br /> <br />PHONE <br /> <br />/ ' / <br />OWNER'S NAME -L.- O.~j (.., <br /> <br />~ f-lrV <br /> <br />~,LU(t1.. i <br />{]Lv.Q <br /> <br />PHONE <br /> <br />JOB ADDRESS '7 If'l.{ I <br /> <br />b~( <- <br /> <br />z ~ P H11f.. f-~l. (. j <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 3, ,! - z S- - 2-1 - OCOb 60 5Cc. - 60 V'0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />~INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~OMMERCIAL <br /> <br />OMULTI - FAMLL Y <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 <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />L,:J vJ V .$ ft..... rfJ Ie 1.( "- S; 'I J T( ........... <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <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 />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />2350, <br /> <br />I <br />I <br />,// .. 509; .) <br />PERMITS REQUESTED ( )f ~ ~~ <br /> <br />VALUATION OF TOTAL CONSTRUCT;ON--~ <br /> <br />.~.-' / <br /> <br />00 <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />m:. PLUMBING - L ,()v.JJ S-('.,v''l-l~1'-- <br /> <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />D 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 AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <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 />OTHER L,qw,v S"r........,v!-( c?, <br />SIGNATURE L~ ,l L <br />, - <br /> <br />COMPANY LVtlJ.jr'-' C <br /> <br />l/<1-v (0 <br /> <br />S'U,..h /."v., f 74 r ~ <br /> <br />STATE CERT OR REGIST # <br />