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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 ;2. / oS' <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME RAYMOt\JD E. BISSON <br />JOB ADDRESS 30 0'2. -, (; I1:f, A V E , <br /> <br />PHONE 201- 78'Z - 0" 4 '3 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />13 -'2(;- '21- 002A- 00100 -00 I 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-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 l-,"OM E <br />.A,....l" r=;~ A II <br />BUILDING SIZE "'rU ^ <.;) or <br /> <br />''2.4-'=> L. A. . <br />SQUARE FOOTAGE 1'e'Z.3 U~DEIZ. R.OO~ HEIGHT <br /> <br />I " <br />JeD-e <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <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 />AMP SERVICE <br /> <br />~ Progress Energy 0 <br /> <br /> <br />@BUILDING <br />ct'ELECTRI CAL <br />@PLUMBING <br />~ECHANICAL <br /> <br />PERMITS REQUESTED <br />00 <br />1'"2.0 \ 000';"'-- VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <br /> <br />'Zoo <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />~o 5D ~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br />8" A f30ve: ~I2AOE <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES E(NO <br /> <br /> <br />SIGNATURE <br /> <br />c,~ <br /> <br />4/4 <br /> <br />COMPANY WOOD co ~6Tr<UC.TtO~ ~ ~ooc:i~ <br />STATE CERT OR REGIST # RC -00 170f5~ <br /> <br />BUILDER <br /> <br />******************************************************~*********** <br /> <br />ELECTRICIAN <br />SIGNATURE ~~ ~ ~ <br /> <br />COMPANY RE.EJ;,E ELECTt21CAL <br />STATE CERT OR REGIST # E C \ ~€:X) I 353 <br />I Lf4 C\ <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~O"LJ~ <br /> <br />COMPANY DE,\.JNI6 WILL \AMS. I JVC. <br />STATE CERT OR REGIST # ~~ /~~()~ <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br /> <br />* ** * **** * * ****** ** *** * *** * ***** ***** ** ***~ * ***~'***N** * *** <br /> <br />COMPANY :::::::=-c1 /!/ /(/y'/ <br /> <br />MECHANICAL <br /> <br />~' <br />it <br />*******~******************************************************* <br /> <br />STATE CERT OR REGIST * ,?( f1...;I) c> fi'-I t, <br /> <br />{ <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br />