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<br />f7 I;. ,,) (:> <br />rj <br /> <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 />P j}-rnt <br /> <br />DATE RECEIVED <br /> <br />ul;<~ft{/ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ErJ /nand 13~/Jq <br />v <br />JOB ADDRESS J~o/ /I1il aclu:J. f),. . <br /> <br />PHONE <br /> <br />LEGAL DESCRI PT I ON: LOT ( S ) 1'19 <br /> <br />SUBDIVISION!'IUI12/c1 .,,&o/~ <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />cJ-tf-~h ~- {)(PI()- (X}OOJ-/f./9o <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />[JALTERATION <br /> <br />o/REPAIR <br /> <br />[J INSTALL <br /> <br />o SIGN <br />PROPOSED USE: OISGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />0# OF UNITS <br />D SWIMMING POOL <br /> <br />o MOBILE HOME <br />DOTHER <br /> <br />BUILDING SIZE <br /> <br />D RESTAURANT <br />re;p/~tl ja1()lIr Pj;f",ff/. <br />SQUARE FoiTAGE <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />)e/J!ft.CL <br />. <br /> <br />\flYlMIl <br /> <br />/(J(jPl <br /> <br />DESCRIPTION OF WORK <br /> <br />HEIGHT <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 />rjJ BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />D MECHANICAL $ <br /> <br />$ &), tJO. 00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />[J Progress Energy D <br /> <br />~ ~ <br />~~ ,c ~);ik- <br />W.R,E.~~ fz-lb.t. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />o FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />~ ~r\\1 <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />~ /}-IL <br /> <br /> <br />******************************************~* <br /> <br />/ <br /> <br />COMPANY .bl) gJ;~ Cbltu/~/~ <br />nz ~,(. Ie A...d. A-a .II. e . <br />STATE CERT OR REGIST # <br /> <br />BUILDER <br /> <br />ELECTRICI~ COMP <br />SIGNATURE H<!.&Y k. u)~ STATE CERT OR REGIST i ~- /Y}oA!.. ~ <br />**** * ** ***** * ** ***** * ** *** *************** ***** * *** *** * *******;fl% ;2.... 3 7, <br /> <br /> <br />'-:!"c J/(j u <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />