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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION /; l~J f-I-{}; <br />BUILDING DEPARTMEN1 53'35' 8TH St, Zephyrhills, FL 33542 v: I ( <br />813-780-0020 FAX: 813-780-0021 ;Sf 05 <br />DATE RECEIVED ,-- <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME Baggett - levonson <br /> <br />PHONE 813-782-4830 <br /> <br />JOB ADDRESS ~l 'J 11 <br /> <br />Kelly ~ynn Court-Charleston Oaks <br /> <br />LEGAL DESCRIPTION: LOT(S) 3 BLOCK <br />PARCEL ID # 0 'J. ~;)(o-J. , - 0 a ~c --00000 - () 0 "3 0 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: {)NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE:flsGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-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 /> <br />DESCRIPTION OF WORK New Single Family Home <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 <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 />Ii] BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />IX] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br /> <br />Ii] PLUMBING <br />iii MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALL <br /> <br /> <br />-'I <br />ION~ <br /> <br />o GAS <br /> <br />liS] 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 />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES fi NO <br /> <br /> <br />SIGNATURE <br /> <br />PJf~4:;fh <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST #CRC058536 <br /> <br />SIGNATURE <br /> <br /> <br /> <br />****************************************************************** <br /> <br />COMPANY h4 C~16 E/~L~ V <br /> <br />3/ <br /> <br />STATE CERT OR REGIST # <br /> <br />- <br />(::C ~OoC>.2..~-.:b <br /> <br />ELECTRICI <br /> <br />:; <br /> <br />********************************************** <br /> <br />PLUMBER <br /> <br />C\ . j) 1;(' <br />lV~ ',U~~c~ <br /> <br />COMPANY JJt:!J,/J's.. l ' (,.v.i' L'.1- w'\. S <br />STATE CERT OR REGIST # iq 20 <br /> <br />1,/ <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br />COMPANY ,tE~ /-I~ r.s ,t?/t-O/,/P"....,l 0"..5 e ~A <br />, / <br /> <br />SIGNATURE <br /> <br />2!/6A' <br />/ <br /> <br />STATE CERT OR REGIST # CAC()Y..?9'~,5 <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />