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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 RECEIVED <br /> <br />/j J/r- <br />.~ I, :"j~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME\l<'A^",,_' ~.../-r~,~J]iL PHONE E/3'1-7'S02-0?~6 <br />JOB ADDRESf 3!/3W:~e-J ~~ ~, <br /> <br />LEGAL DESCRIPTION: LOT(S) ()% BLOC~ SUBDIVISION D Is Q <br />PARCEL 10 #ft-~ - D/30- ~-oc/1oo <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />o SIGN <br />PROPOSED USE:idSGi FAMILY DWELLING <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />ctl ' ~'::.L.L o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL 0 OTHER <br /> <br />~ ~ c:J RESTAURANT & HEALTH DEPARTMENT APPRO~AL <br /> <br />DESCRIPTION OF WORK n €L.0 9t::7/e... LQ....-w'\...- ...~~ ('e-('( cP~~~ <br />I / e; '!..f:W: -1:>1;r-~ 7::0 ~/ <br />BUILDING SIZE 14 +~ ~< l? q SQUARE FOOTAGE / ~ 0 HEIGHT C> <br />, <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 />#?l15?- <br /> <br />\.,/ <br /> <br />~LDING <br />~CTRICAL <br />~MBING <br />~ANICAL <br />o GAS ~FING <br /> <br />PERMITS REQUESTED <br />$ I Is;, c}0)) ,~ <br />CS<~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ <.5,'5 ~{)ccC'50 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~LOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~' <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # ~t!.- 035 J I-~~ <br /> <br />EUCTRICIAN ~HHHH H ;:;*H_H:=:::::::~7;5~'~~~ . <br /> <br />SIGNATURE ~u ~_. ~ STATE CERT OR REGIST t t;:R tfi)rtfs 9/ <br /> <br />PLUMBER ..........:.............. =. ::::::~C;:::' Z k\' i ~'\ ~~ <br /> <br />SIGNATURE~ ~~ · , STATE CERT OR REGIST t (!., I c:25"~ <br /> <br /> <br />******************************************* <br /> <br /> <br />::::~ '" 17 I. .". ~ . ~ ~ ~ ;:::;N CERT OR REGIST . 0 <br />OTHER .~.L~'*HHH*HH::~::;:'~'~~~<l <br /> <br />STATE CERT OR REGIST #~. 13::J. S-SLJ5 <br /> <br /> <br />