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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 IVED <br /> <br />II} <21 ~()y <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />K-JJI.. fLir! -I- f}J o.J'q Ie <br />S (; ~ s- rJJ t1 J' 1/'eR-1 <br /> <br />II ; / be r f <br />2e,Pi:! / WI'! <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />Fl. <br /> <br />" <br /> <br />SUBDIVISION Z. C.C .~.' VIJ.JUi!J <br />.4ci . //-./3 <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL 10 # <br /> <br />IJ ~r).(p-Jl- OOrJ...4 - () /?/Jd- 0:J1d <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <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 />9(SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />,f;tJrotutrl <br /> <br />lMol ~ ~~ <br />~QUARE FOOTAGE ~;S <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 <br />FORMS. <br />/c?~/~~ <br /> <br />~ "5 . "'.;;;. <br /> <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />~'" <br />~S ...,. <br /> <br />,2..,U) b . <br />f]JJU-. <br />fev-...~ . <br /> <br />o BUILDING <br /> <br />$ v< ~ooo [JO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <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 />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO <br /> <br /> <br />BUILDER <br /> <br />COMPANy~IB 'POOL COIJTt<ACTI~ <br /> <br />SIGNATURE <br /> <br />~8-~ ~/L <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br /> <br />********************************************************k********* <br /> <br /> <br />COMPANL.thu:N~(\c) 710 c- Sue (0 <br />STATE CERT OR REGIST # e.c...coo '2 \ ""L \ <br /> <br />ELECTRICIAN <br /> <br />PLUMBER <br />SIGNATURE ~~C <br /> <br />COMPANY JT5 'POOL COIVTI<AC.TlrJ<O <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 POOL E^-JCLOSUJl<...~ <br />SIGNATURE ~ Ii Ai<-- ;jJ L.. <br /> <br />COMPANY f'\.1.f. C.ON$TflVcn O-..J <br /> <br />STATE CERT OR REGIST # <br />