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<br />,. <br /> <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~/'y,,~/s- <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME~~-t-r~,~ lhcL.. PHONE t?13t-7;f':;;-O'f~S <br />JOB ADDREss3'1,t-!'\ ~e.-I c4=1~ ~, <br />LEGAL DESCRIPTION: LOT(S) 050 0 BLOCK~O SUBDIVISION 0/30 <br />PARCEL 10 # 34-d:<!5.~ - Or2f)-fl:ra:>- OWl:> (OBTAIN FROM PROPERTY TAX NOTICE) <br />05'ClV <br />WORK PROPSED: erNEW CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR 0 INSTALL <br /> <br />OSIGN <br />PROPOSED USE:~ FAMILY DWELLING <br />~~COMMERCIAL <br /> <br />(" CJ <br /><f)..A..~ION OF WORK <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 /> <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />['~; cP~~C-- <br /> <br />HEIGHT <br /> <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 />~LDING <br />~CTRICAL <br />~MBING <br />~ANICAL <br />o GAS ~FING <br /> <br />PERMITS REQUESTED <br />$ / /Cj[)CD~DU VALUATION OF TOTAL CONSTRUCTION <br />, <br /> <br />O<~ <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ ,-3-~' OO~uu <br />o SPECIALTY 0 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />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 0 NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # ~e- 035/ L~c..f <br /> <br />E~CTRICIAN ~~. ;;;H.....~=:::::::~.t;Y~.&o~ . <br /> <br />SIGNATURE - U ~-- - - STATE CERT OR REGIST * t=J;;: [fi)rtf5 9/ <br /> <br />PLUMBER ;"'~';':'~":~'~"'~'::::::~'ZtJ'i~'\ ~~ <br /> <br />SIGNATUREr.::t:2~. . STATE CERT I -:t6&O <br /> <br />******************************************* <br />MECHANICAL /~ COMPAN <br /> <br />SIGNATURE~ <:, ~ JO STATE CERT OR REGIST # (i) <br /> <br /> <br />OTHER ...H:.... H....H....H...H.:::::.::.~.;;:::~~cl <br /> <br />STATE CERT OR REGIST #~. /3::1 S-SLJ5 <br /> <br /> <br />