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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 />~." <br />'-. {( ,( (. l <br /> <br />'j. .:.! /, ,-,/ <br /> <br />DATE RECE IVED <br /> <br />1- ;).~-or <br /> <br />~ <br />OWNER'S NAME. Ii ~ ."' '1.t~vGS- <br />JOB ADDRESS ,Cf61 CofZt.;:;.JD Oel 2-IJ-,lk <br />1 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PHONEc~~ <br />.33S-~ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # rJi";J.f:, ;j/-P{JtJC-OOIOt) ""0/70 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: piNEW CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />PROPOSED <br /> <br /> <br />c...- <br />DCOMMERCIAL <br /> <br />DESCRIPTION OF WORK 13u,ld Akt0 .:?m-e- <br />BUILDING SIZE q-o'X !;o <br />. <br /> <br />HEIGHT <br /> <br />/~ <br /> <br />RES IDENT IAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUHDING PiANS & (l) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOffi4S. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION <br /> <br />uiPLUMBING <br />D MECHANICAL <br /> <br />301~ <br /> <br /> <br />""BUILDING <br />fii' ELECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />If <br />- VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <br /> <br />/I/} I'('i/\ <br />. .Ii. I "",/ <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />FLORIDA POWER <br /> <br />/)~IO <br />(). nC6 1 / <br />"I)" /. I <br />INSTALL1~TION 1 n rt. ~/;~/ .L\~. ,)- <br />I .'1' // ~~ <\ <br />/1 / '),. ^\ (i::, <br />/ (./~:() .~ <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />D FRAME <br />17,S-o <br /> <br />g" STEEL <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />IS PROJECT <br /> <br /> <br />AREAD YES <br /> <br />RNO <br /> <br /> <br />S rGNATURE <br /> <br />CQNTAA,c;TO;R>...SE.CTIQN <br />nt~r:~/(8 COMPANYC~ ir ,r.~ t., D/-l-I; <br />STATE CERT OR REGIST # (~ <br /> <br />************************************************ <br /> <br />ELECTRICIAN <br /> <br />cfhtl>J.,.ko. fl J\..... ~ COMPANY f' Ow ey 1.0,<, <! f I-d., < , .. ~ c '" <br />~ R P-- STATE C~"!07"5':;,.,! ~O~S-'90'1 .ai'sS- <br /> <br /> <br />* * ** * * * ****** * * ***** ** * * ** ** * * *** ** **~:i.iZ** ~*'~ ~ <br /> <br />SIGNATURE <br /> <br />PLUMBER >/::/' ~ COMPANY ibrrJ,qN t2viYlf3frJ<.,,;,-j ('fL. <br />SIGNATU~/-~~':> STATE CER~OR RE",'ST_# p~. 'e.",9 <br />*********************************************t7~*f**~J*~,~*t;??>> <br />- -- <br />MECHANICAL COMPANY <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />