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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 aTH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 hIIO/i)'5 <br />DATE RECEIVED <...../{ --1L- <br /> <br />PHONE CONTACT FOR PERMITTING ~ <br /> <br />OWNER'S NAME <br /> <br />LuifJar <br />"7 r:t5 <br /> <br /> <br />PHONE <br /> <br />8/3' 1fiLaCJ3Cj <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) ~~ <br />PARCEL 10 # ~-c9.5-d\- <br /> <br />SUBDIVISION <br /> <br />Ou-.l.fv u.vJ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o ADDITION <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: riaSGL FAMILY 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 NORK 0(0 s& UiZ~~ ~LM{;2J- <br />BUILDING SIZE 69, L/K4D SQUARE FO TAGE &314 HEIGHT ~ <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 />~~ECTRICAL <br />~~UMBING <br />~HANICAL <br />o GAS ~ING <br /> <br />$ 130,570 <br />dOO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy ~ <br /> <br />W.R.E.C. <br /> <br />$A::tD <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />1'-13. 00 <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />)8( NO <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />5 <br />Cl3c o'ft:J&9j <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />;f)/UL ~ <br />u <br /> <br />COMPANY 81IY1QJ1.~ <br />STATE CERT OR REGIST # 00/3/3.'1- <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />ktN <br /> <br />A~ph <br /> <br />COMPANY ~'JLL.,-+ . <br />STATE CERT OR REGIST # CFc.,otj~ 99 r <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />******************************************~*****~************ <br /> <br />~ COMPANY - L'\'4'llAl fl~ <br /> <br />N f\DtlLLf:lb STATE CERT OR REGIST # CItCD5/"J 410 <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />COMPANY C ~h1cb ~-k <br /> <br />STATE CERT OR REGIST # 11(../-1!::'- () /j <br /> <br />cf<:{rx <br /> <br />J~tlii~ <br /> <br />OTHER <br />