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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />DATE RECEIVED J 1/'I/tJ5 <br />. I <br /> <br />PERMITTING 91]- JS,5'-67'19 <br /> <br />OWNER'S NAME If!( 0 J1) 101 !J- e /J f:e b ee/( <br />JOB ADDRESs39601 r9fi fl-tTc <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />"Z epA RLlh 1l.L5 <br />I <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[J ADDITION <br />[J MOVE <br /> <br />[JALTERATION <br />[J DEMOLISH <br /> <br />~ REPAIR IE' I~ST~L <br />J 1-o1i."" dql'rl<i,-e t,J J ,vcPou.Jt <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK P"ff- r;.LofS nllXfp h4.tY/ WIJVc!,,4./!J ..;- IIf./.foLok WQLL:r <br /> <br />BUILDING SIZE '?- j X / L SQUARE FOOTAGE 1.?6 HEIGHT 9 ' <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) ~T ENERGY F.ORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS7f.- _~ <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. / I L, ~ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />AMP SERVICE <br /> <br />PERMITS REQUESTED ~ :.1 <br />VALUATION OF TOTAL CONSTRUCTION r~;Jt- <br /> <br />o U.E.C~p <br />~ :~tllo q <br /> <br />[J FLORIDA POWER <br /> <br /> <br />~ BUILDING <br />[J ELECTRICAL <br /> <br />$/ -1 J ?~QI) <br />$ <br /> <br />[J PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />A'SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />.I:J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br />SIGNATURE <br /> <br />rt::::; <br /> <br />A-4-k ,Wi <br /> <br />cO~qT();R",S:&:C'rION <br />COMPANY ,5 eo IY/ Less 9 q-Jfer{ 5pecJc,L,.sl~' <br />STATE CERT OR REGIST # Se.cOS-'? 70 <br /> <br />BUILDER <br /> <br />a~ <br /> <br />****************************************************************** <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 REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />