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<br />CITY OF ZEPHYRHILLS PERMIT APPLICAT~U~ <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhi11S, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />bl - d-S-r:JS- <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER'S NAME i!l IV: A ill;:o (LA () (J.fl: ; <br />.31.!:i50 5o.rfl.. p. J~ . <br />JOB ADDRESS /...(:::PP (//;'1/ I L-LS <br />f. <br />LEGAL DESCRIPTION: LOT(S) /tr,</"bAT <br /> <br />PHONE y,.]. 7/.../ -5'076 <br /> <br />,1'7-0.( I~ c) /2.. T <br /> <br />36~ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE\ <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />I;LYIN S TALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-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 AP~ROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />~) /? <br />0(" T - J f' Pee/i} I':::> t G" <br /> <br />,.-1/ /;(;C..AFT /~1 :ill eN..::' <br /> <br />BUILDING SIZE ~;i~,~/ X <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'aj /5...J.L. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCT~9N':7 f ~ .. ')~ <br /> <br />. fl~v 2lo L. hL.--))L. <br />PERMITS REQUESTgb <br /> <br />"',.1 ) <br />) , ~ <br />- <br /> <br />SQUARE FOOTAGE <br /> <br />/0 z.. 0 <br /> <br />HEIGHT <br /> <br />/ z. r <br /> <br />o BUILDING <br /> <br />$1'6 Sb\J. .,' <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br /> <br />h 1\.li- Vv~~. )j,'}L I\r1fh~ j4-l(lh) "'IAi../J <br />. -,-t(lIU(\ '~ \?~~rr <br />VALUATION OF MECdANCIAL INSTALLATION <br />~THER <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />~TEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />COMPANY <br /> <br />(~#1rj ~-'r- <br />- <br /> <br /> <br />STATE CERT OR REGIST. c.,8c. CJ )' I ~/ ? <br /> <br />...f2,,, ,. ,:, e.. <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />********************************************* <br /> <br />COMPANY <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST . <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />MECHANICAL <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 />