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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION .'1, /~ /tJ 5 <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 ~(t I ( <br />813-780-0020 FAX: 813-780-002,,~yp.e~MlT SERVICE <br />1_~~~/~94 <br /> <br />PHONE CONTACT FOR PERMITTINlbUFree <br /> <br />OWNER'S NAME RICI-/IlRP 4 NfJfJc,Y L/J!foci-/E. PHONE (glj)7~O-8l).feZ <br /> <br />JOB ADDRESS ,35o;L 8Eltji. !..f)NE ZEPIIV,fIlIi.JJ; FL J 3~-W <br />. pia /! <br />LEGAL DESCRIPTION: LOT (S) i.3 BLOCK~ SUBDIVISION ElUro..AI /b/Il'le RI <br />1Z€(f(J/'f <br />PARCEL 10 # ;;hJ -.;26-:21 . OO~O- OlJOOO - 033D (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />~ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />DMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />C ~ (ij)vQ e f/ / ~f.t / 0 / /J abM +OJ fa ,fS <br />SQUARE FOOTAGE I/O t <br /> <br />.;- cui c/ .il/e t! #'ie <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />IS y..J,).. <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 />PERMITS REQUESTED <br /> <br />5'L, 5".:2> J~)~ <br />,!: ~~ h--L~. <br /> <br />~ BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />3. (JUG. OJ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY ,kl;1I t{/;~-ty. <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />" ~. ~... / ~....... :::::::?JA:4; T c *' ;~i ';;,' -;. [hi ft/ (V Irt <br />jyl.Jt/-, t-) /oe,tt/(Iy <br />STATE CERT OR REGIST # (..;' v '1" <br />, <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 />