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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 />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ~ U [ 1'1.. ~ f'^""'-- <br /> <br />JOB ADDRESS ' ~Q...; r-L-\ _, ~CXi>ct <br />~ <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />W. -.::2..4> :;;2; - QV IV ~"t.O - DO:;l, D <br />PARCEL ID # O~ -::</t;-;;L/ - (,)Dlo- o;t~ - ~C <br /> <br />PHONE F?l~- 7?:;;. -0 rCl~ <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE 0 DEMOLISH~ <br />~LTI-FAMILY ~OF UNITS <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE J II <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~ ~~ ) 1--~J ~~ "A'- I <br /> <br />K '+1 ~QUARE FOOTAGE 6.0 I 0 HEIGHT l:' <br /> <br />DESCRIPTION OF WORK <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 />~DING <br />t:YfLECTRICAL <br />~UMBING <br />OMECHANICAL $ 15 CYo'~ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS ~~FING 0 SPECIALTY 0 OTHER <br /> <br />PERMITS REQUESTED <br /> <br />025' ~ dP <br />$ Q~ <br />, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />-~J 00 <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />TYPE OF CONSTRUCTION: ~K <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 ~O <br /> <br /> <br />ELECTRICIAN L JL ~"'~ <br />SIGNATURE ~~ STATE CERT OR REGIST <br />*********************************************************k******** <br />PLDMBER 6- COMPANY ~LJ~ ~ <br />SIGNATURE .~.....:~~~~.~~:~.~:.:~~::~.:.::~~~l9~ <br />MECHANICAL ./ -1" COMPANY ,5~'L F <br />SIGNATURE ~rsrt4~~ R - STATE CERT OR REGIST ~C~ /~35'79 <br /> <br /> <br />***************************************************************** <br /> <br /> <br />OTHER:: ~ COMPAN1~~~~~ <br /> <br />SIGNATUR .tS- ,,~ L- STATE CERT OR REGIST # ~ J3:ZS'5'OS <br /> <br />BDIIDER 6- <br /> <br />SIGNATURE: ~ STATE CERT OR REGIST ~ eft O:l6/~LI- <br /> <br />********* ******************************************************* <br /> <br />COMPANYJ'r\~ ~~ <br /># ,pc.. I~CD Is~~ <br /> <br />.J <br />