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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 82'11 St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEJ:VED / / - / S -1J Y <br />PAs(() PeRMl! SERIt'J( <br />CONTACT FOR PERMI'l"l'ING f -~"lC-g}.t.t-7gcpl <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />R.,;' /-a... <br />'19 IS- <br /> <br />I?4Q,J <br />LIlb<s iJt, [}rive <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION w/~_ler.r m. /I. <br />1"tJJ' /{. <br />(OBTATN FROM PROPERTY TAX NOTICEl <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID It <br /> <br />Il./ -62(, - ~/- 000)- OO~O -0000 <br /> <br />WORK PROPSED: ONEW CONSTRUCTION 9(ADDITION OALTERATION 0 REPAIR <br />DSIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE: ~GL FAMILY DWELLING OMin.TI-FAMILY O. OF UNITS <br /> <br />o INSTALL <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />?(MOBlLE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />/'00 m <br />I ~ )C ,),0 <br /> <br />D RESTAURANT & I;IEALTH DEPARTMENT APPROVAL <br />ruiUlti/( <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />r).. V () P <br /> <br />HEIGHT <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 />~ BUILDING <br />'$ ELECTRICAL <br /> <br />$ <br /> <br />PI s-oO. (J) <br /> <br />& .:.11.( ) SET ENERGY FORMS. <br />F01f,S. <br />/5),)0/3LDl. <br /> <br />~T RE VESTED ~O.:..~ ~L, <br />PE~ S Q <br />VALUATION OF TOTAL CONSTRUCTION ltc /&-) f/ b J- <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />OGAS <br /> <br />o ROOFING 0 SPECIALTY <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 AREAD YES 0 NO <br /> <br />SIGNATURE <br /> <br />~~}JL <br />{/ <br /> <br />g~~~~~~~~~~~ <br />COMPANY ~ (U) J' /~ AkA..D C <br /> <br />BU:ILDER <br /> <br />STATE CERT OR REGIST It <br /> <br />ELEC'l'RICIAN . <br />SIGNATURE~~-'I.. Cc.~ <br /> <br />****************************************************************** <br /> <br />6' Le.el-r~ <br /> <br />COMPANY <br /> <br />C rfLlLcio.-l/ <br /> <br />STATE CERT OR REGIST It <br /> <br />PLUMBER <br /> <br />..................................:::::::..~~....~~ ~ <br /> <br /> <br />~ ~ YY\~ STATE CERT OR REGIST * Cel (0 'f 'ift. ( <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANJ:CAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST It <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST . <br />