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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 _ 7-~ <br />DATE RECEIVED /0 ";l <br /> <br />PHONE CONTACT FOR PERMITTING ~~ <br /> <br />OWNER'S NAME~I/I~ rn~/~ JL..-.L.~ONE. <:3B-7Pd -D~~5 <br />. ,1 ~h~hlr> <br />JOB ADDRESS ~--t ~~-4... <br /> <br />LEGAL DESCRIPTION: LOT(S) 40 BLOCK ~ <br /> <br />PARCEL 10 #34 --25' -~-O(@.~-ttJttlJB <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br /> <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE:~ FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />c:J RESTAURANT & HEALTH DEPARTMENT APPRO~L <br />DESCRIPTION OF WORK (l9-r......;. ~1-~ ~(fi.hl4-(e!:f.:,.,nJ <br />BUILDING SIZE ,5//g:RYc;6 r~~ SQUARE FOOTAGE ..;:2jld> HEIGHT cP~ <br />, <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 /> <br />o BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D"ELECTRICAL <br />D-fLUMBING <br />JJMECHANICAL <br /> <br />$ <br /> <br />3, DL::YD CD <br /> <br />, <br /> <br />~ress Energy 0 W.R.E.C. <br />-S1'1~ 5;pk.cn=, L <br />~~ 04tC} <br />VALUATION OF MECHANCIAL INSTALLATION ~~I~,J. <br /> <br />o GAS <br /> <br />~ING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~K <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 <br /> <br />~ <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # C!13 G. o~~;:; 13<-( <br /> <br />***************************************************** <br /> <br />ELECTRICIAN L~' COMPANyEAS, fft5<'.<J ~~',L'iS-ql <br />SIGNATURE ~ STATE CERT OR REGIST # <br />************* *************************************************** <br /> <br />PLUMBER <br /> <br /> <br />COMPANY pt;;1\) Nt 5 LI- fA.): LL/ A-ms H...UI\1BIf\X.) <br />STATE CERT OR REGIST # (l r=:(' , '-f;J 5 f.LJ O:J... <br /> <br />SIGNATURE <br /> <br />*********** <br /> <br />* **************************************^**********~* <br /> <br />COMPANY RAH/~(5 ri2.0PA-NE ~ A-C <br />STATE CERT OR REGIST # C~' D1319;!S <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />*****************:;~;:::~~~ <br /> <br />SIGNATURE <br /> <br />CERT OR REGIST #~/~5'605 <br />