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<br />-. <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 89 St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT <br /> <br />DATE RECEIVED //-..7-'01/ <br />FOR PERMITTINGa=I])9Jf- 5<J8/ <br /> <br />OWNER'S NAME Be LOl?d .:E7t/r's~P'71(?/lls II"Jc. PHONE (g/3)9d).g- 5tJ8-/ <br />JOB ADDRESS_=t1 '3 ~6' <-to '13"3 C(? 'ttt'_5~ <br />LEGAL DESCRIPTION: LOT (S) ~~ BLOCK SUBDIVISION <br />PARCEL ID # /~-.:J('-~/--()()I()-OI)'7'()d-OI)Y.t:J (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 />OSIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING ~MULTI-FAMILY 0# OF UNITS <br />o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />CJ RESTAU~T & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WOR~/~' 0 vpje*:,,/). <br />BUILDING SIZE ~ {i''X~f.:.:~:::..:.. . . SQUARE FOOTAGE dOO / <br /> <br />HEIGHT <br /> <br />/5\ <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 FORM . <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 /> <br />o BUILDING <br />o ELECTRICAL <br /> <br />$ (; 5: 0,00 <br />300 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />fa( FLORIDA POWER <br /> <br />o <br /> <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK )( FRAME <br />FINISHED FLOOR ELEVATIONS 8ha6ove roud <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />/iJCdI <br />I)' :~ <br />q:J-~ <br /> <br />-'I <br /> <br />JL (I' 'J <br /> <br /> <br />~NO <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ 5"000 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />IS PROJECT <br /> <br /> <br />AREAO YES <br /> <br />BUILDER <br /> <br /> <br />CON~CTO:RSECTI()N <br /> <br />, COMPANY AlVIn 60l"'h,+:>/ ~o~-?~<:r;(/C170~ <br /> <br />STATE CERT OR REGIST # C6C 0(;, q ~ <br />J-~: <br />******************************************************* { <br /> <br />ELECTRI <br /> <br />COMPANY F/"/2 ~.-t () (/1<;. s Fie rf:-t:- " V <br />STATE CERT OR REGIST # EC Od' :157/) <br /> <br />PLUMBER <br /> <br />* *1.****************************************************** <br /> <br /> <br />~ ~ CC><PANY ~ <br /> <br />STATE CERT <br /> <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY ~;>D^ ~"",a's~'lS +- ~lif!5 <br />STATE CERT OR REGIST # c.'At:- 187 3' "), ~ <br /> <br />(c;.....................:....:...~;:::::.4?~..<.Z;;~;.71v... f,~ ~ <br /> <br />STATE CERT OR REGIST # C Fe 1'-/2 h3/3 <br /> <br /> <br />..---- <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />f( tlA16d~ <br />OTHEk <br /> <br />