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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 ~~/(a-~ <br />DATE RECE JVBJr::~ '"_____. <br /> <br />PHONE CONTACT FOR PERMITTIN(fI3-1It)-/~0 <br /> <br />PARCEL ID # <br /> <br />/-It;/7€ *1J7l1E" tJF k;::,f/7/LII/C(J,)/ft PHONE, <br />iR'fr- ~LL gCt/~J .ze~1/7/2b'/c-tf I h. <br />- / <br />0;2. BLOCK ;2b SUBDIVISION <br />02 ;26:2/ tYtJ /~ tJ() f161 tJ IJtl ,2t'J <br /> <br />?13~7ftJ-/Ai~ <br />33.511'2 <br />:2./ <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION ~DDITION OALTERATION o REPAIR o INSTALL <br /> OSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> ~MMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />BUILDING SIZE <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />!JO/JJT/(!l# 70 /!lift/Ie 7#&/J-77?E <br /> <br />7tJ )( 13 CJ SQUARE FOOTAGE 1/7tltJ <br /> <br />HEIGHT <br /> <br />e:26 ) <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) ..s.E-1'--ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY.,.J:QRF1.s:------. )'" <br />IF SI ERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIREr' '/'~. --- ~ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUC ON. j I \.0 C!- <br /> <br />~ '-'.I;Z~~~ . / /J <br />J< ~()q. ",/EllMITS REQUESTED _~ ~(1:J <br />~I $~(){"X;CCf). - VALUATION OF TOTAL CONSTRUCT~.?~.._--~-~~5 <br />)( ELECTRICAL '(pf)fJ AMP SERVICE X Progress 3perg~ 0 W. R. E;;;J- ') <br />o PLUMBING ,~"., 0&&':) <br />~HANICAL $ j~trUlf). o-cD VALUATION OF MECH IN~L~TION'_~9q' <br />o GAS ~OOFING 0 SPE~LTY 0 OTHER --- <br />TYPE OF CONSTRUCTION: ~BLOCK 0 FRAME ~EL 0 OTHER <br /> <br /> <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE; AREAO YES ~- <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # C GCOCO03( ~ <br /> <br />*************************************************** <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY J/A/!;'/l P.-lee:l}./~ ~~ <br />STATE CERT OR REGIST # 1Ee:..(3{X)13~3 <br /> <br />*******************************************************;,********** <br /> <br />PLUMBER <br />SIGNATURE ~~..f.. <br /> <br />LJ~ <br /> <br />, <br /> <br />COMPANY~P.klJS Co tu) {11'^,"VS <br />STATE CERT OR REGIST # 19'20 <br /> <br />MECHANIC <br /> <br /> <br />*****************************************~*::*~**A********** ~ <br />COMPANY I\.k )(...-l)t)JO jnl>-.Ji~ ~ <br /> <br />STATE CERT OR REGIST # ~:'OSft1()U) <br /> <br />****************************************************** <br /> <br />T E <br /> <br />~A~^~Ja !AQ~3~ <br />StifGN~ ",,,CI "', <br />ifYK. f'[ Ot~~ ,~q:{j1-.? ~':~.i'L "'-j",",J:J :.~; <br />:&WfiJ\IIl' ":',..\ <br /> <br />t\l~A'lb~it~i l~p,;: ~~J'~ ~e ~:~b;dU <br /> <br />COMPAN <br />, ...........'-""'-..:;".. <br /> <br />......~-"... <br /> <br /> <br />_If" . <br /> <br />,~ ~ ': <br />'\:':1 ~~, ;J'} <br />,.<". >"..,. <br /> <br />." STATE CERT OR RE~IS1' <br />