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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 />~7~S <br /> <br />{' ,J <br />4 ,0 e1t,M'" <br />r. <br />OWNER'S NAME ~(<ft-v\ /--1 q~ <br />JOB ADDRESS 1331-_ 4~-- <br /> <br />PHONE CONTACT FOR PERMITTING ~(I~Wo..\.e~ <br />813 2q8-8z~ <br /> <br />i 11'373 <br />()uiz/lA '5 <br />C-All [j/v d <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />3lf -:J.5-2/--bCOO - o03rOtJ -- 0020 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />J[JALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />P COMMERCIAL <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 />'? - I . \ <br />DESCRIPTION OF WORK +t-l<-I<J \1>2.- ~.,.>oJ Q.. -ho,J I <br /> <br />1>'C "^ 17 U..... <] <br /> <br />w:-.1(1 I ~r.Jh.l I ,J~t0 ~N( Ce.. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />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 />PERMITS REQUESTED <br /> <br /> <br />Ji BUILDING <br />o ELECTRICAL <br /> <br />$ 5l), 000, ao <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />.~ <br />~~ <br />W.R.E,C0 (PV) <br />.~\:ry ~~tj <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <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 />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />df 31ft/ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY~+CoN 01">...J ~4. <br />STATE CERT OR REGIST # ~L \2 S-o S3_~ <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN () <br />SIGNATURE -"""f See..- r J;Z- <br /> <br />COMPANY <br /> <br />h <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER ~~ <br />SIGNATUR~~ - ~. ~ <br /> <br />COMPANyC/I& 1!rf/tR. fLullfb:d <br /> <br />STATE CERT OR REGIST # C~ /1(<-6 $in- <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * ** * * ~* * * *,* * * * * * * * * * * *.* * * * <br /> <br />MECHANICAL . COMPANY r~ C-'!u-k,; .( /(~J;:;- <br />SIGNATUREYJ.~~ d~ STATE CERT OR REGIST # C//1t!-C>S5L/7t <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />