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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhi11s, FL 33542 eJ <br />813-780-0020 FAX: 813-780-0021.... ; 5'. ~ 5 <br />DATE RECEIVED ~ t..!:. <br /> <br />PHONE CONTACT FOR PERMITTING q'( 3 -8~ 2"2... <br /> <br />OWNER'S NAME SusA-N G-s-efiA-~i>'- PHONE '7~ - 'SB I <br />JOB ADDRESS 388'10 2 ~ AY€'.. zeI'H'(;t!.;-I;/ls.. FL. 33S'/:l- <br />r <br /> <br />LEGAL DESCRIPTION: LOT (S) I ~ "1- BLOCK "Z.O'l- SUBDIVISION ~~:,., of ~i"'N~~#/IIS" <br /> <br />PARCEL ID # U - 2.'-""Z.J - 0010 - 202.00- 0010 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />~EPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK -a-P,q.~,(, W'NOeW..s7 cs>,O#';.".. e.(,Bc.TIe'~.L. I A/~,' ,4~c PCU_bJ'"" <br />BUILDING SIZE SQUARE FOOTAGE I} 'i~ HEIGHT <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 />ff"BUILDING <br />l?'ELECTRI CAL <br />~LUMBING <br />~CHANICAL <br /> <br />PERMITS REQUESTED <br />$ 2LJ1 S;1..S.. 00 VALUATION OF TOTAL CONSTRUCTION <br />z.00 AMP SERVICE 0 Progress Energy 0 <br /> <br />W.R.E,C. <br /> <br />$ 2/ c.tS'l>.. OD <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 <br /> <br />~RAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~ <br /> <br /> <br />BUILDER <br />SIGNATURE ~.;k'.~~~ <br /> <br />COMPANY D,AM(tNO COAl'T'~Ac:..:'f'I~) r,.,~ <br /> <br />STATE CERT OR REGIST # CSCC fo67r <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />& :? <br />SIGNATURE ....../ ~ ~7 <br /> <br />COMPANY e <if e.. €"L.€"CTtZ. Ie... I:N<- <br />STATE CERT OR REGIST # €t'-13o.:>Il?J63 <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~u).dR~-/ <br /> <br />COMPANYDen (\ i S oj ~ t \ ,'/lrrn ~ R&M''''~iN11 'TNe.... <br />STATE CERT OR REGIST # ~;:.c,." I..{ ')...5602- <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br />SIGNATURE ~~~~~ <br /> <br />COMPANY D1AMONO CO^",,;2.AC)'("'4) rN<!... <br />STATE CERT OR REGIST # eAcoz..r3S> <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST' # <br />