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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 IWO <br /> <br />l <br /> <br />,;J ;/~S <br /> <br />. <br /> <br />PHONE CONTACT FOR PERMITTING (81,))9.).3'-508-( <br /> <br />OWNER'S NAMERk/tl/f I'tft'PE/f'I7.6Y .TlIc. PHONE ('iP/3) 9;;J~- StJrl <br />JOB ADORES8,g1~1 !~ll~3v 771. SJ;fJBer <br />LEGAL DESCRIPTION: LOT (5) ~ BLOCK 50/ SUBDIVISION $~t?A'Ef ;&?2"iF'J'f"..ABk1. <br />PARCEL ID # /~~&-;J./ - /)/1/0 ...1J3't'tJi?- adS!) (OBTAIN FROM PROPERTY TAX NOTICEl <br />WORK PROPSED: ~ CONSTRUCTION <br />OSIGN <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION DALTERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />~LTI-FAMILY 0# OF UNITS o MOBILE HO <br />o INDUSTRIAL o SW IMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK jJVPLE ~ <br />BUILDING SIZE ;;;>-q ~r;'1 <br /> <br />SQUARE FOOTAGE ~t? / <br /> <br />HEIGHT <br /> <br />ISI <br /> <br />o BUILDING <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED., <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. q~- )~ -Ft.--u\,.)) <br /> <br />})iJ;Y #7i,~ [fKf)f1~J'-- <br />PERMITS REQUESTED 1.111I. ()/t ,..."" <br />t.1 JLJ t ~ <br /> <br />AMP SE::::TION ;::D:O::::CTto~ W.R.E.C~/u <br /> <br />$ ~S.f)tJ tJ <br />3t)f) <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />b MECHANICAL <br /> <br />$ <br /> <br />stJOO <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 ~RAME <br />FINISHED FLOOR ELEVATIONS B-I(AtJJt..j.- ,k'd- <br />0ffi o~ I <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AAEA~ YES ~ <br /> <br />ELECTRICI <br /> <br /> <br />q9~q~l!t:f{'~J:9'J..i.~9N . <br />COMPANY .&LI/~A/ /3-"'1CHrl} f- '('0>> I"'.AC <br /> <br />BUILDER <br /> <br /> <br />STATE CERT OR REGIST # C.i$C~6(J:2.91 <br /> <br />SIGNATURE <br /> <br />*************************************************~****************-f <br /> <br />.. -::f /2' '7 <br />(\ COMPANY ?T~ c/t /3 .-C?cr <br />~ STATE CERT OR REGIST # c.C -c V"ck?2570 <br /> <br />************************************************* <br /> <br />COMPANY L416y .J IJ.1"eS P/u;v1tl'lj IVJC <br />STATE CERT OR REGIST # CFC, j'12 6 613 <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />COMPANY -:T'~/Y).(4~ Jder6- -r-CQ"h",!o <br />STATE CERT OR REGIST # ~ I t1Y 3t; :?c, <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />