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<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 />PHONE CONTACT FOR <br /> <br />DATE RECEIVED ::<- ,/-05 <br />fC-rptN Sl~~ <br />PERMITTING ~\']- 9' l' -'729.:2 <br /> <br />OWNER'S NAME \)1 f\)~f\,(l 8\.J LLC>c...c.<- PHONE <br />JOB ADDRESs5€' ~~ J? M 5T Z~i2.l..U c..L5 t Fl <br />LEGAL DESCRIPTION: LOT(S) LJ, ~~ BLOCK ?Lf. SUBDIVISION <br />PARCEL ID # ll-;2.G:, -~, -nO\ O-D?I./CP - OOl,lOOBTAIN FROM PROPERTY TAX NOTICEl <br /> <br /><813 - c,g, - 30;;)3 <br />3s5l/-n <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />DSIGN <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />~THER <br /> <br />f\1_1 RESTAURANT <br />DESCRIPTION OF WORK ~1f""'A.cHt3D <br />. <br /> <br />BUILDING SIZE Ot 1/ --{ 30t <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />C~c3 <br /> <br />SQUARE FOOTAGE <br /> <br />/020 <br /> <br />I <br />HEIGHT 7 9 @'WQ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PE~ ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />~I~~PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~\f\~'\ , ~~ ' A\\1 <br />t'-\ -))~~, -\\OQ) ilf' <br />...J ~~" ,1\ l <br />o BUILDING $ )~l Q"""~ <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br />~~ <br />IoU. fSw~- <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />BUILDER <br /> <br />COMPANy1)W1SLD Bu), .L)~ <br /> <br />STATE CERT OR REGIST # <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 />