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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 />11- Jr ~Ot( <br />, <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME NIAI 15. J-br i1"i <br />JOB ADDRESS . & L./ W;7:>ft 5 Ii V I" /! -e. clr, <br />LEGAL DESCRIPTION: LOT(S) It[ BLOCK <br />PARCEL ID # 03- ;)G,- jJ-o')~D-ooBoD - OJtJo <br /> <br />PHONE <br /> <br />714- 1.(<8 35 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-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 II'"' {tD~vc..J,:." nf. <br />'1~ I X 5 8 I <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~ - S}.o'y $""4Jc. s;......~y tw.-~ <br />SQUARE FOOTAGE 3 J 5 } I <br /> <br />HEIGHT <br /> <br />} 7 I (9' ~ ~ 0 <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~UILDING <br />~LECTRICAL <br />I1I""p LOMB I N G <br />B"'MECHANICAL <br /> <br />$ J t;o, o()o <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />g- Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ 4,500 <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 ~FRAME <br />)' II <br />FINISHED FLOOR ELEVATIONS ~ <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />[!(No <br /> <br /> <br />SIGNATURE <br /> <br />.JU If J;d4 . <br /> <br />COMPANY ~fJ"A~'~ (Clt'\tl'1lth'"" ) .rt1C... <br />STATE CERT OR REGIST # C gc..1 ~5 I &d.<B' <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY ill elf;;~ EI ~ /' C- :;:;., C <br />I <br /> <br />STATE CERT OR REGIST # ;;; C I '5 0 u 13c;?:3 <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY /;//;'1 \. Ja'li1t9J fk/"lb/'l1 .p,~ <br />I I ' <br />STATE CERT OR REGIST # eFt /q 1 (; 5.1 '? <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />*****************************~-*********(******* <br />COMPANY ~ V /t /'1 C-j 5 <br /> <br />STATE CERT OR REGIST ~ PI m to l Y\.t ~ / <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />