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<br />CITY OF ZEPHYRHILLS PERMIT ~PPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, zephyr~:Li~, ..FL ..33542 '. ,.,:". <br />813-780-0020 FAX: 813-780--J>QW1,'.. ",.l.,...'...-e 1/ <br />: <":~~"i;;t;ATkRECE~!' ' Je~ tl7 <br />....".,........"'......*..~ < - .' ............ <br /> <br />PHONE CONTACT FOR PERMITTING 3S2-S8$..,SOI1 <br /> <br />faWNER'S NAME Cre+ lJ. p~ c, Ire h..1&.L" e i de y <br />JOB ADDRESS~ S:J.r;J. J./-), Jt~e-r <br />t q.r+ O{V .f'.t ~ I <br />LEGAL DESCRIPTION: LOT (S) ,110+ S i.JJJ J BLOCK J J <br />PARCEL ID # -11- 2~ l..l- ObIO- 13/0D - 00 10 <br /> <br />g/3~ 783- JJ 3</ <br /> <br />PHONE <br /> <br />SUBDIVISION 4./1l4~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />)ZI'SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & <br />DESCRIPTION OF WORK 5 WI rvtM LNb <br />BUILDING SIZE --11 x 2 -S (PoO(.) <br /> <br />HEALTH DEPARTMENT APPROVAL <br /> <br />fobL <br /> <br />c <br /> <br />fLOvJ [;X S/S( I f'\.~ <br />1.. ~~cP HEIGHT <br /> <br />F~ <br /> <br />SQUARE FOOTAGE <br /> <br />~UILDING <br />~LECTRICAL <br />~LUMBING <br /> <br />PERMITS REQUESTED <br />$~ VAL~ATION OF TOTAL CONSTRUCTION <br />fi Progress Energy 0 <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. ~ f)! ....V. <br />1,-/0 , r;;"~ 1?t..4J ....:':J .. <br /> <br />:35.~":> /,l'lVtG- <br /> <br /> <br />"2. - ...'.. ri.Lf..- Cr. <br />-i'~ ' <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 />AMP SERVICE <br /> <br />W.R.E.C. <br /> <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 /> <br />COMPANY <br />STATE CERT OR REGIST # Cfc..05'tc/lt::J( <br />rtUi?~ * *;:f* *rr1L ~~ *~ * * * * * * * * * * * * * * * * <br />COMPANY ~(f.lt W'~-CILM~~~~Jfr <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />PLUMBER <br /> <br />***************~************************************************* <br /> <br /> <br />Ho -rOW,.) DOCS C, COMPANY HD~ IOW..N PODL.5 he. <br />R,ATE CERT OR REGIST * eft. D !;fo 'lit> ,_ <br /> <br /> <br />************************~t~**~*~*~~*~*~********* <br /> <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHF.R <br /> <br />COMPANY <br /> <br />\TURE <br /> <br />STATE CERT OR REGIST # <br /> <br />'J:' <br />