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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St. Zephyrhi.1.1.s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />/~-/5'cf <br />, , <br /> <br />PHONE CONTACT FOR PEBMITTING <br /> <br />JOB ADDRESS 4330 <br /> <br />NAME J1esrL-E r,.;A-rb(~ A/o1.111 Mt&/~ PHONE <cJ3 - 763 -11~1 <br />'20 TH s;r IZ. ~ r ~H ,yA" HI L/....5 1 rL. "335 yO <br />A/,4 BLOCK ,,4/A- SUBDIVISION A14- <br />0::>70 O~ o::co <br /> <br />OWNER'S <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br /> <br />1-; <br /> <br />'2.~ <br /> <br />2./ <br /> <br />IORTAI~ ~ROM PROPERTY TAX NOTICEI <br /> <br />o COMMERCIAL <br /> <br />~DDITION o ALTERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />OMULTI-FA."1ILY 0# OF CNITS o MOBILE H Ot-1E <br />~USTRIAL o SWIMMING POOL o OTHER <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />DSIGN <br /> <br />PROPOSED USE: DSGL FA."1ILY DWELLING <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK oKIIAJlfEAI17I-L.. Fi3A/C./3:. AA/f) 6/f7Z:S <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />& (l)W S~ ENERGY FON~S. <br />FORMS, <br />",,'-00 <br />2S'J. <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 />o BUILDING <br /> <br />$ <br /> <br />_PERMITS REQUESTED <br />//5; Ot:t:.) VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRIC.ll,.L <br /> <br />ANP SERVICE <br /> <br />o Pcogress Energy 0 <br /> <br />W.R.E.C. <br /> <br />. r1~ <br />4t ~lp <br /> <br />o PLUMBING <br /> <br />o ~n~ <br />~~W <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />~THER <br /> <br />o MECHANICAL <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRANE <br /> <br />o STEEL <br /> <br />gOTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />BUILDER <br /> <br /> <br />CONTRACTOR SECTION <br />COMPANY $e Htf5,keLt... Co. <br /> <br />SIGNA <br /> <br />STATE CERT OR REGIST # Crg;()j 1315 <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR PEGIST # <br /> <br />***********************************************************~**~** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />