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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATIUN <br />BUILDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />"I ~ 1- fi) r; <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />, , <br />J/t,JC1" /1t1/)so!l /'wIL-KINS- <br />/ <br />;2.0 r1i 5'/" .z t:jJ/I'(RH /L.(~ <br /> <br />PHONE 1'/,1-1'19-'1137 <br /> <br />JOB ADDRESS .5(;59 <br /> <br />~ <br />SUBDIVISION err,! or=Zt>()JI}lJf illLt..s' <br /> <br />LEGAL DESCRI PTION: LOT (S) t, 11 BLOCK I/O <br />PARCEL ID # 11-2?:,-2/-0010-//0()()-{)Obl <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />u;(OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br />~c?tAC6-r I WfN/)/)t<) Sf Z/dr r-;-,c .s /Z6/ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY <br />FO~S. <br /> <br />113 5. ..)~ <br /> <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ ZIIJ. qt <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />~THER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />~'''''~~''''''''''''''T.':''''-''.".r''''''''T''-'''''''''''-'-''--'''~'''~''-'''''''''''':1~'-''-~~--- _"~ -- - -- -- - -- - --",- .....~~"-~ ~-,.. ..,-~-_.. -"'.,~~,- ......... r'r<:l---~----:;t'1'l""ll:~""!'l'r.':'1-' <br />'"""","J,~:",%;~i':i""~"'"" ,t,,' :"'1:'".,, "",' ( '" c' .liI,l,tji'"~ 1[,"~-~,J'~J~IJ,;ij!,!:I'!;~ <br />~:i:~.~t~~~~i::;f&1~::~'~1'!-.:J~l;ljLj.k~~i.:;~.:lI~':"_----------_ _ _____.__ __ .,__ _~L~~~JdillL~~L.:M~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER WIAI!JIJW <br />SIGNATURE ~~ e. ,YVta-+-r~ <br /> <br />COMPANvRAIJ ~v.5~Mc1ioN L.L. e. <br /> <br />STATE CERT OR REGIST #;eB 2q~o 3/$/ <br />