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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 ~ S <br />DATE RECE lVED <br /> <br />PHONE CONTACT FOR PERMITTING (i/3)9d.8-5/.J~/ <br /> <br />O~~~~ jj NAM~L ta'11/ hit'" /-/ rBL. CL/h'S'fiPvc7Z'441 .TJlc. <br />~~if'6~3~ Sf/c-e-7 <br />\5~AL DESCRIPTION, LOT IS) 3 ~ y:, t{ BLOCK /'-7' SUBDIVISION41<!1t'A'J:",'l J=7.:erT AP/.J. <br />~, PARCEL 10 # /~-/;)~;-:;;J-/J(J/{) -/JJ 'f (J,{) - 0030 {OBTAIN FROM PROPERTY TAX NOTICEl <br />WORK PROPSED: ~EW CONSTRUCTION 0 ADDITION DALTERATION 0 REPAIR 0 INSTALL <br />DSIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING ~LTI-FAMILY 0# OF UNITS <br />o COMMERCIAL 0 INDUSTRIAL 0 SW IMMING POOL <br /> <br />PHONE <br /> <br />('RI3) 9~K-6t:Jtf-../ <br /> <br />o MOBILE HO <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ,t)t/;aLB k <br />BUILDING SIZE ~9~~'J <br /> <br />SQUARE FOOTAGE ~OtJ I <br /> <br />HEIGHT <br /> <br />/Sl <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 />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />t:t- FLORIDA POWER <br /> <br />CON fi (4t( K-~~j) <br />IN l) ;tI( ~i~ <br />cRR.:i7 fl~T( ~ri. <br />~N 'f'L~ <br />RrLt ~ Tb <br />o W.R:.E.C. / <br />c. c <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ 6 5'. otJtJ <br />3tJO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o PLUMBING <br />tJ MECHANICAL <br /> <br />$ <br /> <br />5""t)()() <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAS <br /> <br />o ROOFING 0 SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK ~ FRAME 0 STEEL 0 OTHER <br />FINISHED FLOOR ELEVATIONS I?~# Iff) _'S PR JECT IN FLOOD ZONE AREA~S ~NO <br />,3'" ~ ( \~ ,,) ~ <br />c6N'TRACTOl{'r;'SECT.foN' <br />" -...". ,: .' . . '.'.; . ," .",: _. :.,,! -. -.:;: ;.... ". t~, ':". _ ,_ .... .;.. "'.' "... '.:": <br /> <br />COMPANyALI/YA/~Ch7Pc. ~tJ/I/..TA/C <br /> <br /> <br />BUILDER <br /> <br /> <br /> <br />STATE CERT OR REGIST # C&ctJ~tIJ;J9 'f <br /> <br />SIGNATURE <br /> <br />******************************************************~*********** <br /> <br /> <br />COMPANY ;7(/; f ~f)5 ~ 7czt:;; c <br />STATE CERT OR REGIST # ~- C')c)dL~?c) <br /> <br />ELECTRICI <br /> <br />************************************************* <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY /AI/; V Jt/lV/Jef aftlb;'1j I/JC I <br />/ / <br />STATE CERT OR REGIST # CFCJ 1:2 6 3 /~ <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />**************************************************** <br /> <br />COMPANY :I.U'1'\...o. r; f-FTb.,...... raolr~ <br />STATE CERT OR REGIST # CA<:. f~1 3C?<6 <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REG 1ST # <br />