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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 RECEIVED <br /> <br />.s= ;2-u~- <br />~~Y//)S <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAM~~0 ~~...f-,r~~~ ~ PHONE ?13-7fd---D?ctS <br /> <br />JOB ADDRESS_ '-jft_3 ( C~VJO-R~h dr. ~~~ J( <br /> <br />LEGAL DESCRIPTION: LOT (S) ~~.b BLOCK ~';to:.." SUBDIVISION c!Qu::;/~ R a..-.~ <br />14 -..:>- ~- ~.... ((),o:::. '- u3 <It (> _ ctcH-V D...5@' ---r <br />PARCEL ID # 1'-f-~6 -:J..f-orJ.S:::)- oS<l-lfV -- ~ 4/ (OBTAIN FROM PROPERTY TAX NOTICE) <br />ILf-.:LC:. -:;:;J..( -q) I 0..) - &3S"' 6v _(bD lb <br />WORK PROPSED: ~W CONSTRUCTION 0 ADDITION DALTERATION 0 REPAIR 0 INSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~ 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 />DESCRIPTION OF WORK t')e L..:> ~/"1 Ie ..:J~./~ r.::= ~ i 'd~C-.. <br />BUILDING SIZE 3 g)< [;G" r~~ SQUARE FOOTAGE rh5/ TV rA-L <br />. <br /> <br />HEIGHT <br /> <br />e <br /> <br />~ILDING <br />~ECTRICAL <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 REQU~ FOR ALL_FEW CONSTRUCTION. Jhs/ <br /> <br />PIU-n~ ~\. ~l ~ - ~~.. <br />PERMITS REQUESTED <br />$ /JO,(Jf)2>/o <:> <br />~ fC:I€) <br />. <br /> <br />VALUATION ~F~TAL CONSTRUCTION <br />AMP SERVICE ~ Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />~LUMBING <br />~CHANICAL <br />o GAS ~OFING <br /> <br />$ dBDO,OU <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~LOCK <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 ~ <br /> <br /> <br />BUILDER / c.. Y"'"'/ .J- <br />SIGNATUR~~ ~ STATE CERT OR REGIST i (VJif?.L' ~ecf. <br /> <br /> <br />*************************************************** * ************ <br /> <br /> <br />ELECTRICIAN j7 ",1 ^ ,/ ~ COMPAN~~ ~ ~ <br />SIGNATURE ~/U ~~ STATE CERT OR REGIST i Ef .If),(V69 / <br /> <br />PLUMBER ......................~...........:::::::..~.t~~~ <br /> <br />SIGNATURE STATE CERT OR REGIST # C~/~S.h~ <br /> <br /> <br />SIGNATURE <br /> <br />........ ... ..~............~~~;~~~~~~(~~~ <br />~~:.H.~...H.:~:::.~:~T :~.~::~S.~.:::.~~~P7~ <br />~~~~1A~ <br /> <br />COM PAN <br /> <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br /> <br />STATE CERT OR REGtST # ~-~~~ <br />