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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~B St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-7BO-0021 <br /> <br />DATE RECE lVED <br /> <br />~fo/lJ5' <br /> <br />, <br /> <br />PHONE CONTACT FOR PERMITTING (~/ 3) 9~K'... S ~8 / <br /> <br />JOB ADDRESS <br /> <br />NAME BAc/YA~ f>l!tJjJE~F<:; Tue. <br />- ~, LI '131 ~~ s\ d-' LJ'" 33 <br />BLOCK /5 <br /> <br />PHONE <br />~ -f} ~{: <br /> <br />tR/.'lJ 9~SO?/ <br /> <br />OWNER'S <br /> <br />LEGAL DESCRIPTION: LOT(S) ~ <br />PARCEL 10 # /9''()'c,-~/-IJOI{) .0/,0 0- OO'ltJ <br />WORK PROPSED: '~W CONSTRUCTION D ADDITION <br /> <br />SUBDIVISION #/JdRB.s ALJ/.J. <br /> <br />(OBTAIN FROM PROPF.RTY TAX NOTICEl <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br /> D SIGN D MOVE D DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING ~LTI-FAMILY D # OF UNITS D MOBILE HO <br /> D COMMERC IAL D INDUSTRIAL D SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK f)tI!JLE ~ <br />BUILDING SIZE J. '9'K~ 9 <br /> <br />SQUARE FOOTAGE ;;;t)t) / <br /> <br />HEIGHT / S J <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 />o BUILDING <br /> <br />$ ~ s: ~I.?~ <br />3.t)~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />~FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />D PLUMBING <br />b MECHANICAL <br /> <br />$ <br /> <br />~OOQ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />DGAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />t1 FRAME <br />8 "AOtYa RI) <br />~t.- <br />cq~g~~i't.~E9~~9N : <br />COMPANY.A!. p..IJ/-~lIrEL Ct?M T~ <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~ NO <br /> <br />BUILDER <br /> <br />ELECTRIC <br /> <br /> <br />STATE CERT OR REGIST # C(JC a~;;).q r <br /> <br />SIGNATURE <br /> <br />************************************************* <br /> <br />COMPANY ;:j.;-;f (1~~:? E~ci7<.~ <br />STATE CERT OR REGIST # Ec "'-c:'vUZ~?8 <br /> <br />********* <br /> <br />****************************************,~*********** <br /> <br />PLUMBER <br /> <br />~ ~ ~. COMPANY ~/h 1/ \ hVI7f'5 I/t/m/;fd~ IVlC, <br />It( STATE CERT OR ~EGIST/ It CFC )L/:J.. 65/3 <br /> <br />** *******1.* ***************************************.~*********** . <br />COMPANY ~m 4' J 1&7'G- T Ca:,/r'e) <br /> <br />STATE CERT OR REGIST # <LAc./t!H g~;:>b <br /> <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REG 1ST # <br />