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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8rR St, Zephyrhills, FL 33542 i . / <br />813-780-0020 FAX: 813-780-0021 7/'lttJS <br />DATE RECEIVED <br />~ <br />PHONE CONTACT FOR PERMITTING ,\~;). SILO ;XtJ.~?> <br /> <br />PARCEL 10 # J.l/ ~LP Q. / <br /> <br />~ rnuehl.fIJbuaJr <br />me I C\.~ Jt~ or. L:e.~hT1lJh1J, \ s <br />~C; <br />COdo (I)(ffi) \5QO <br /> <br />PHONE 9/3 'y)q {P1UCJ <br />~ I ~'3L5l}D <br /> <br />OWNER'S NAME Le 0 rI <br />JOB ADDRESS 3 3;1 f) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~ MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK :POA.{ ,-netic Q <br />BUILDING SIZE r 3 )(3& SQUARE FOOTAGE 3-9l/ ~ <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 />~ BUILDING <br />~ ELECTRICAL <br />~ PLUMBING <br />~ECHANICAL <br /> <br />$ <br /> <br />~o OD 00 <br />100 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />ISoo 00 <br /> <br />VALUATION DF MECHANCIAL INSTALLATION 1- 2, ~ '3 ~ <br />o OTHER ~ ') <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />~ FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDER ~ <br />SIGNAT~ ' <br /> <br />t <br /> <br />STATE CERT OR REGIST # -1J1 ~~l) <br /> <br />***********************************************~**~~~~****; <br /> <br /> <br />ELECTRICIAN I. _ ~ J){2.) COMPANY-' i-)os. m ()\ (] eff (l tra}) <br />SIGNATUR~~~QY"> STATE CERT OR REGIST #!;.t DC(X)13~~ <br /> <br /> <br />****************************************************************** <br /> <br />PLUMBER L. _ _ _... Oil/. ,..-.. COMPAN~rJAQy\ Co..s.tru ct 1If)) <br />SIGNAT~~~ } STATE CERT OR REGIST # \ l1 D(X).J3f:;l/ <br /> <br />MECHAN:CALVI:::::***~;*******************~~~;~~~*~*i~~ji~********** <br /> <br />SIGNATU~ 9 ~.Q~ STATE CERT OR REGIST # Co @"'YJc93S).. <br /> <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />