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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8'l'B St, Zephyrhills, FL 33542 y;2~CJ_r <br />813-780-0020 FAX: 813-780-0021 ~~ <br />DATE RECE IVED -, ._- <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME~~~+r~'~~ <br /> <br />JOB ADDRESS Hl}o $' G"-~:-~ dr. <br />- &;~) P3,~ <br />LEGAL DESCRIPTION: LOT (S) ~'H , BLOCK ~~ <br />1"-~-~"'C>/tS)-D3~ro .....recfo <br />PARCEL ID # ~f.:~t,7!~ ~ ~- 03~-00.;t <br />, -~, - V.s .... 00 <br />WORK PROPSED:~NSTRUCTION o ADDITION <br /> <br />PHONE lrls-Z [5 ~~od?~r <br /> <br />SUBDIVISION g~/e~~d <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE~AMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL ~ <br />DESCRIPTION OF WORK n.~ S t t\..1/~ ~~L.,,- v-e~, d~,~-- <br />BUILDING SIZE '~J,fJ''' )('~bry:~ SQUARE FOOTAGE /~f~ ~~ HEIGHT &>/" <br /> <br />~DING <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />}>/~~ ~ ~ I~ - ~cO~ 11oC:;~ <br />PERMITS REQUESTED <br />$ / I ~ ~,G~ VALUATION OF TOTAL CONSTRUCTION <br />, <br /> <br />c;(tyL) AMP SERVICE ~LORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />~CTRICAL <br /> <br />~UMBING <br />~HANICAL <br />o GAS ZFING <br /> <br />$ ~ !!?OO , fQ'O <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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: AREAD YES 6 <br /> <br />OTHER <br /> <br /> <br />~~:~!:9~I~ ~ <br />BUILDER .- COMPAN~C'P-J\.C~~ ~_ <br />SIGNATfJREfi~/.-J- STATE CERT OR REGIST *(1l8~036:1;:]<I <br /> <br />ELECTRICIAN ***********************~**********::::::~~~~*~ <br /> <br />SIGNATURE p~ ~~ STATE CERT OR REGIST * EI; ~f6'91 <br /> <br /> <br />****************************************************************** ~ <br /> <br /> <br />COMP",": l::e I'\M.;!!;' L:J: L \l ~ f ~~ <br />STATE CERT OR REGIST #~F~ /~s(p Dd-- <br /> <br /> <br />****************************~***~**f**~****** .0 <br /> <br />COMPANY~l~a..Y\ ~ ~ ~~ <br />STATE CERT OR REGIST #~ ~~{)cf3<{C{l: <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />SIGNATU <br /> <br />HHWH**HHW::~~~~~~ <br /> <br />STATE CERT OR REGIST #C.-~/3~s:s-8.S' <br />