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<br />CITY OF ZEPHYRHILLS PERMIT APPLICA~~ION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />OWNER'S NAME mQy.stic (XJLS LLc <br />JOB ADDRESS ' '31 0 ( , V~Q.;y-y)a In <br />LEGAL DESCRIPTION: LOT(S) ~ 09 <br /> <br />DATE: RECEIVED <br /> <br />PHONE CONTACT FOR PERMI'l~TING <6/3 m - ~5J6 <br />fCl'cL(\)6rfhvp <br />PHONE~1/3 763 -75/<6 <br />7 -ill I'lls ,~35q ]-- , <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID it <br />WORK PROPSED: []NEW CONSTRUCTION <br />DSIGN <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />~STALL <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />o i OF UNITS <br />o SWIMMING POOL <br /> <br />~ILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br /> <br />~~ ~ l/Yv0~t~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />tt/;2~~ <br /> <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br />~MBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 0 NO <br /> <br />~:: -~~-"'''''-~~''''---~~"f-__ -,,~~-~- --"'~:-ro-""'~"'~"- "T"~ '--~- - ~- - - ---- - ~~. - - --,"'- ...._"".~-~-..-. ~-::;-"--; ~;J,:,--:;;~-~'lt'"'f~rr-;;;.,,;;,~~r;'?~ <br />I ," I r '" I".. f ," I, I r 1, , . I ~} 1., : l;f rlf 1, ~ , d;.' ..". f:Jl.l::::f'l~.iJ't4# t4;' 1'1' <br />~_""~"''''::~~':...l:...::~"~'.:t':'':':'~~_2.:''_.~,,-_~_~.;..:LIt:.-~';l~:-'-J;...w.._.1 ~__ __ ___ _ ___.__ ___ _. _ __!_~..............:.~...:'...:'~,~~.,/~rfJ.4f~1:jlJkl <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************'k********* <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />'C~" <br /> <br />COMPANY~~ ~ lJtrCVr11S P I ~b <br />STATE CERT OR REGIST it LfC \f} d-S (c() ~ <br /> <br />PLUMBER <br /> <br />l~~~jW~ <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST it <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST it <br /> <br />. ;~- ~.'r. ." <br />