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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 ,:;1 {Qlr-.(:...,. <br />DATE RECEIVED ~ <br /> <br />PHONE CONTACT FOR PERMITTING J~ Li \l~\,,\-- <br /> <br /> <br />SUBDIVISION Ou..l.fl/UuJ <br /> <br />OWNER'S NAME <br /> <br />LLnnar <br /> <br />PHONE 8'3 -~ 1~-~S34 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL 10 # <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-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 lSio S& il... 20u'lU ~~ ~ } ~LLt ~,J- <br />BUILDING SIZE ~ SQUARE FO TAGE ~31Y HEIGHT ~t. <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 />PERMITS REQUESTED <br /> <br />~ILDING <br />~CTRICAL <br />~UMBING <br />~CHANICAL <br /> <br />$ \?:D)6lD <br />8(j) <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy <br /> <br />e:r <br /> <br />W.R.E. <br /> <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />o FRAME <br /> <br />\~\.OO <br /> <br />o STEEL <br />IS PROJECT IN FLOOD ZONE AREAO YES ~ <br /> <br /> <br />$ ~~Db <br /> <br />VALUATION OF MECHANCIAL INST <br /> <br />o GAS <br /> <br />~OFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />:5 <br />CI3C o;jb;&9~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />A(h/'f~ <br /> <br />COMPANY &! /(lOll. Y;J-K.- <br />STATE CERT OR REGIST # 00/3/3 .zf <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />~ <br /> <br />r&j#J <br /> <br />COMPANY ~+ <br />STATE CERT OR REGIST # CFGO'-I~ qtJ f' <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />******************************************:;2F*****~************ <br /> <br />1r(; COMPANY - l.'\ '4l1Al J(J~ <br />If)( A[)~ STATE CERT OR REGIST # Ci4.(~5/) 4/ [) <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />HH:;(>HH'H"HH"HHHH~:~::::'C"&;'~;H~ <br /> <br />1j1JJ,_ ADILUjffi ~ STATE CERT OR REGIST t Ilc-i/ ~() /3 <br /> <br />OTHER <br />