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<br />CITY OF ZEPHYRHILLS PERMIT APPLICAT~U~ <br />BUILDING DEPARTMENT 5335 8TH st, ZephyrhillS, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br />PHONE GONTACT FOR PERMITTING Z\]-k,)q-l.( q~ ( <br /> <br />OWNER'S NAME {J(.lV\'(~ L '- <br />JOB ADDRESS 513'1o~\A";;C(j <br />LEGAL DESCRI PT ION , LOT IS) \ ~ ,<oj II \, . ~LOCK" <br />PARCEL ID 4t I ~ - ~\n-d- (- :... ~i~.- ~~l)- ( I 3 Q <br />WORK PROPSED: ~EW CONSTRUCTION <br /> <br />C~li~ <br />'-o~-f- <br /> <br />PHONE )(13- ~q -I..( q<o 1 <br /> <br />SUBDIVISION CcJ (('/\1 Hptfl~' <br />/OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />O. OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH <br />/J I a 0\/ f.J. 0 \ dj 81''v:J.:? <br />v .. I <br />~ ~.. /.\ \ <br />BUILDING SIZE ~. }~\~a -.) ~ ><. 'i Q.- <br /> <br />DEPARTMENT APpROVAL <br /> <br />SQUARE FOOTAGE <br /> <br />~ ,~bn <br />/ <br /> <br />- , <br />HEIGHT '6' <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGYFO~MS. <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 />5 <br />1/, ~ 9...... .&. <br />dt/7 <br />, /",~.. <br />,f ~/' <br />L.~ <br /> <br /> <br />Dl!BUILDING <br />IJIIELECTRI CAL <br />Q/pLUMBING <br />mMECHANICAL <br /> <br />$ 5 q \j C 0 . ()\:J <br />~()\) <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />QiOOFING <br /> <br />$ 3,.500 u~ <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~LOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />~ <br /> <br />FINISHED FLOOR ELEVATIONS ... ~~ j}.b~ve. cl <br />\l+ ~\)(AJ ~ <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br /> <br />SIGNATURE <br /> <br />D(;~ viJ L - CU'1 <br />.)0~~ <br /> <br />- . . <br /> <br />COMPANY C ({ vr \~ C aNiYu ~" 1'') )"v{C <br />STATE CERT OR REGI ST . (I.. Ce' O~ OtO ..{ to <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br /> <br />ELECTRICIAN COMPANY w( 1 tl e( <br />SIGNATURE Uff:f/~.ft? ~" STATE CERT OR REGIST I <br />~ ****************************************************************** <br /> <br />PLUMBER DCA.. 'vlj cl L ~ to- vl1- <br />SIGNATURE ---J.- OvMA~ }- ..-.-- <br /> <br />I . - <br />COMPANY c.o {tf-S G.j,~!lIdrvl/\ >4VUl&Y ;4-" <br />STATE CERT OR REGIST 4t C~C (\.{1L~ 11-,2- <br /> <br />***********************************************1:*~~****A* ******* <br />_ MECHANICAL ~ COMPANY V\ ~\ 5 f1 I <br />f' SIGNATURE / ~ STATE CERT OR REGIST * eAt 0 5' f f)'l5 <br />* **** * ** ******* * * *** ** *** * ******* **.* *** * * *** * * * * * * ** **** * * * * ** * <br />COMPANY C(:L{lf~ ['Of'J lruhiYI 5vs "- <br /> <br />. STATE CERT. OR REGIST 4t (' (~~ 0 bC.b 'l.b <br /> <br />OTHER Q () \r{jl~~ . <br />U ,-l <br />SIGNATURE .K.Jl.J -~ / I .....------- <br /> <br />(\) CivV\ ik L ~ 11\1 <br />