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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 />DATE RECE IVED 'L!:. <br /> <br />PHONE CONTACT FOR PERMITTING (313) 9~~-,5(()tf" I <br /> <br />~E BActt.A'~ ,P...et?.PffA?7.Z'ES" rue <br />(~~~s~~?>,~ ~~ S7/?EEr <br /> <br />LEGAL DESCRIPTION: LOT (S) 7 BLOCK :3 0/ <br />PARCEL ID # /'7'~~-dll-OlJltJ -~3yt10-(.)tJ7tJ <br /> <br />PHONE (",f'I3J 9.;JJ"- 5'O~ / <br /> <br />SUBDIVISION ~V1If~ P.7~sr A//d <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~W CONSTRUCTION o ADDITION OALTERATION o REPAIR o INSTALL <br /> OSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING ~LTI-FAMILY 0# OF UNITS o MOBILE HO <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK lJoF'LB,.Jr <br />BUILDING SIZE ~9 6~ If <br /> <br />SQUARE FOOTAGE ;).OCJ I <br /> <br />HEIGHT IS \ <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />(~)L ~4L <br />Fu'\)}) Jl-~(ATi~ <br />(~/1JL ,) }'='I <.~ Ti ~rJ <br />VALUATION OF TOTAL CONSTRUCTION jlJru l;r\.. (~ <br />o W.R.E.C. C/d <br /> <br />~LORIDA POWER <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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ ~ S. tJ/!J ,tJ <br />sPt) <br /> <br />AMP SERVICE <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />b MECHANICAL <br /> <br />$ <br /> <br />S't)()t) <br /> <br />VALUATION OF MECHANCIAL <br /> <br />INSTALLArONj .~1 ~ <br />"-~.. <br /> <br />-- <br /> <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK ~RAME <br />FINISHED FLOOR ELEVATIONS 1-1' A ~ <br />~tl l?f~ . <br />C6NTRACTOR~SECTf6N <br />" ." '..: '. . . - . '. "", .; -. -; .'1: :. . :.' ",I ... - . : ;: ;. . '. " \~''''.' "..'.,;. _~.','.t.", . ' '::,' <br /> <br />COMPANY ~1/7A//f~ CO/I/.. IA/C <br /> <br />o STEEL <br /> <br />o OTHER <br />IN FLOOD ZONE AREAl YE. S ~ <br />fjf=- ~- <br /> <br />IS PROJECT <br /> <br />BUILDER <br /> <br /> <br /> <br />STATE CERT OR REGIST # CI!!$C .t:J6c;;!J:?'f <br /> <br />****************************************************************** <br /> <br /> <br />ELI!CTRIC~ C'\ff _C\ COMPANY fi)t:61 a~3 4c tC~ ~ <br />SIGNATURE v~6C'-<~ STATE CERT OR REGIST # ,c:"C C'eJo2??O <br /> <br /> <br />****************************************************************** <br /> <br />,//L () _ COMPANY 4/b"J/AVllef f/v/Y/6;l}j I1("~ <br />~t#: ~ STATE CERT OR/REGIS~ # cUN2(P3iJ <br /> <br /> <br />**********~***************************************************** <br /> <br />MECHANICAL/~ COMPANY ~y:eM.4'.J liT/>. t- COOP"'" <br />SIGNATURE ~ STATE CERT OR REGIST # C.~(~3~7C. <br />***************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />