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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8D St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />(0/2 r ~tj <br /> <br />. <br /> <br />PHONE CONTACT FOR PERMITTING ~3-7rrd-Olc7~ <br /> <br />OWNER'S NAME c=; e Y'don. ~ ~O-.A.-J.o... --r;- '^ By-', f'-l <br />O~grre g- u~_ <br />LEGAL DESCRIPTION: LOT(S) \te BLock <br />PARCEL ID # 0 d-. .;;L L, ~ \ 0,;;),30 cx::coo <9 I <CO <br /> <br />PHONE ~I '3>- 7'i?;).-9/:P <br />f)etK C r (. ') T c,J ') <br /> <br />JOB ADDRESS (/) 73 f <br />- <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE \ <br /> <br />WORK PROPSED: JqNEW CONSTRUCTION <br />DSIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <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 />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~~\\d ~. ':5'~~\(! ~l't Jw.eH: ~ <br /> <br />SQUARE FOOTAGE \ ~ ~~ <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCT <br /> <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />-* <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />,1 <br />3~<\ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ,KI NO <br /> <br />BUILDER <br /> <br />CON~g!J;'9R <,SECTION <br />COMPANY~V\. '6v'~ ""Ie. ~ 4ssee-. IVLC-_ <br /> <br />SIGNATURE <br /> <br />LLL~ <br /> <br />STATE CERT OR REGIST # c.<:;C C>4 ~4;)'~ <br /> <br />****************************************************************** <br /> <br /> <br />~ <br /> <br />COMPANY "Yh.a..rl-; h- El v=- iy~ <;...... If^-c... <br />STATE CERT OR REGIST # 6c....I'bOO/3~3, <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />-_.~~~ <br /> <br />COMPANY A-A .'Sc..hle ~ t>l ~~:J C~. L~. <br />STATE CERT OR REGIST # c.. Fe.- 04'fl~' <br /> <br />PLUMBER <br /> <br />* *,,*, *, * *~* * * * * * ** ** * ** * * * * ** * * * * * * * * * * * * ** * * * * * * ** * * * * * * * <br />MECHANICAL ~ ~ COMPANY -se~ ~-t <br /> <br />SIGNATURE ---,' ~ ~ STATE CERT OR REGIST # C-.1\t.. \ ~ I ~ OS '7~ <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />