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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 />DATE RECE lVED <br /> <br />,;2- 2X-o~- <br /> <br />PHONE CONT~ PERMITTING ~/"3.-;),ti'3-~936 <br /> <br />___='.---------. 'tt P 7 - )./ iJ L( / . <br />OWNER'S NAME ? AN2EI<\ F ~!:..~,':' -S- w ',oJ rUE l y /'I PHONE g /3- ? go' 7 17 ~ <br /> <br />JOB ADDRESS l.f91fij / ~"i~ SoT 2....f J...j....l,/lsi FI- 335~:;1.. <br /> <br />LEGAL DESCRIPTION: LOT (S) J '-1>>1'1 D IS' BLOCK J SUBDIVISION /Yl OD.Re:>3 r;R~T J1.dJ;T;ow <br /> <br />PARCEL ID # jl-f~;)'l,,-J-J -(;010- 00,;1,00 - O/'f{) <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[J SIGN <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />[J COMMERC IAL <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ,u-(.~ je-j.v/C-G .... .f..t.w,'R-t.- UIAJe.//;7. <br /> <br />BUILDING SIZE 3~lt" .sa SQUARE FOOTAGE 13100 I-tTC- <br /> <br />HEIGHT <br /> <br />12 ' <br /> <br />[J BUILDING <br /> <br />C:~.~~~ICA~) <br /> <br />[J PLUMBING <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 />.. . ,.-/0 <br />/"4 i' 9 ~,~ ./ <br />PERMITS REQUESTED ( / //~. <br />VALUATION OF TOTAL CONSTR~CTfeN. . ;;'100 Ii <br />AMP SERVICE t1 Progress Energy [J W. R. ~ <br /> <br />.~) <br /> <br />$ /:( 00 <br />~DO <br /> <br />[J GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />00 FRAME <br /> <br />[J STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES 15(1 NO <br /> <br /> <br />BUILDER /1 COMPANY ik-W"'d 6A.J;.> &>."..\;;.~ ~... <br />SIGNATURE < / _ '" ;;?~__/L JJ1P STATE CERT OR REGIST * ..€', _~'-J.^'1 <br />****************************************************************** <br /> <br /> <br />SIGNAT <br /> <br />COMPANY&~7' ~\. .sa",a.: , ilV ~ <br />STATE CERT OR RE ~ EGiJa:;);-;;;'?,-P/ <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 />