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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 />PHONE CONTACT FOR <br /> <br />DATE RECEIVED 10(1 ( 1/ <br /> <br />PERMITTI~G 'b 11>q~Db 7c3 <br />/4/1, f<.~ c . <br /> <br />PHONE C((5 / -) 6 S-1S:o 0 <br /> <br />OWNER'S NAME C::" V S <br />JOB ADDRESS 3 7 9' L/ :3 <br /> <br />c , (..o~JCJ <br /> <br />GJJ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL ID # 6:3 '2 t;; '2..( 00 (6 d b CloG 063 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />~IGN <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 />PROPOSED USE: OSGL FAMILY DWELLING OMULTI - FAMIL Y 0# OF UNITS o MOBILE HOME <br />dL ~OMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br />1c1~~ <br />DESCR ~f?oN -i- UA \\ S\C,S <br />BUILDING SIZE <;?7?<!/L(7 SQUARE FOOTAGE HEIGHT 2-:; <br /> <br /> <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 />N I' ER SURVEY REQUIRED FOR ALL NEW CONm~:.b ~ fJ./!a?l6 '~. ' <br /> <br />(?!Y " . 01..' Cz 5' '-' J~L~)to <br />ltj)f)fL~{j'2.I) J ,. PERMITS REQUESTED ~ t' -;7 ~ ~ ,"",~ . <br />1'1" Z:? 7./1 d-o ':3 ~ j2.,.l tL( <br />BUILDING $ ..::::;/ <.J VALUATION OF TOTAL CONSTRUCTION r ", <br /> <br />{t>JftLL 51 U'J <br />o <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br /> <br />o <br /> <br /> <br />o STEEL <br /> <br />WoR;1it1 ~ (& <br />INSTALL(~ ~ go3~-a <br />I J:i / 'Qb~q, <br /> <br />o PLUMBING <br />o MECHANICAL $ <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 OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br />SIGNATURE <br /> <br />// <br /> <br />---~ / <br />~~/ <br /> <br />;Trz...O<../ 5i C-....- 5' <br />~ <br />STAT~ OR REGIST # E SdC:k~OO 'i I <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />***********************************************************t****j* <br />J) I ( G (<r.:.:t./ t C- (<;:, E:. ''f(/5'l(N .G. <br />COMPANY GJ E: '5 ( C-E.. A./i"'l(.-,,(. S I ~ J.7 5 <br /> <br />~ STAT~ OR REGIST # ~SCJoooog-7 <br /> <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />*******************************************************k********** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST# <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />