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<br />.., l' <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 />'"~/;;/c .s- <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME tt(, ,",^"",,,d-A ~..J-r~t ~ JJ1.<2.- PHONE <br />JOB ADDRES ~~e.-I cI==l~ ~, <br />LEGAL DESCRIPTION: LOT (S) 0'-1-1 D BLOCK ~ SUBDIVISION <br />PARCEL ID #..34-:J.5-~- f)i30-~-04ID <br /> <br />~/3~7'!d-O?~5 <br /> <br />o 1:S 0' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />o ALTERAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ~ FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS 0 MOBILE HOME <br />~~MMERCIAL o INDUSTRIAL OSWIMMING POOL 0 OTHER <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK n €<-0, SI~ f-~~ i't rs0 cP-e...-.."-~ <br />BUILDING SIZE ~ I [fl?)( '-f:3!.? SQ~E~AGE 11 Lf~ HEIGHT ~./ <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 />$ /1 UJ()CYD, W VALUATION OF TOTAL CONSTRUCTION <br />, . <br /> <br />~~ <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ 6}; CE:kDU <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 ~O <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # eJlt!- 035/ L~~ <br /> <br />ELECTRICIAN ~<w<w .. ~"W"=:::::::<:E;;::;:J;5~<&o",- . <br /> <br />SIGNATURE ~u ~-- ~ STATE CERT OR REGIST i 2R t:fi)rtf5 9/ <br /> <br />PLUMBER ;<<< <<< < <: < < :;< <<< <=<::::::~~<Zt:.\<i ~<l ~~ <br /> <br />SIGNATURE~ ~ fd-" · ~ STATE CERT OR REGIST I ~ I .:25"&0 <br /> <br /> <br />******************************************* <br /> <br /> <br /> <br />MECHANIC7b~ <br /><:' 0 ^ <br />SIGNATURE ' STATE CERT OR REGIST # lV <br /> <br />"<":H" """<""""<"<""""<"<"<""<"":n<""----<L A. n <br /> <br />OTHER COMPANY ~ ~~ (.\\,0\.. <br />STATE CERT OR REGIST #~. /3::1 S-So5 <br /> <br />COM PAN <br /> <br /> <br />