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<br />OWNER'S NAME <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 ~/,qJ/~ <br />DATE RECEIVED ~ <br /> <br />PHONE CONTACT FOR PERMITTING ~() li\J€\'1 <br /><:613 -q '~aS39 <br />PHONE g/ Z-- (j (/.... ' 1171 ~ ~13 <br /> <br />~ flar I-/JI'iIS, U16 <br />7~,5 / iYhcmnt\JiUe tlrc~ <br />LEGAL DESCRIPTION: LOT (S) ~ I BLOCK ~ SUBDIVISION <br />PARCEL I~ # 3.'j-d5-~' - y5 - (~ lu <br /> <br />JOB ADDRESS <br /> <br />W-l-fvLuJ <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: !iSGL 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 Ui" :// I\,. ){Ji)U ~ r:LJ./ J.(JtLr ~J- <br />BUILDING SIZE 3~.<i? X ....'SD SQUARE FO TAGE er:Il--, 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 />~ BUILDING <br />~ ELECTRICAL <br />IV PLUMBING <br />~ MECHANICAL $ ~ <br />o GAS t1l. ROOFING 0 SPECIALTY <br /> <br />PERMITS REQUESTED <br /> <br />$ ~ 12)~1 ~~L> VALUATION OF TOTAL CONSTRUCTION <br />cU' AMP SERVICE <br /> <br />o <br /> <br />Progress Energy ~ <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTA,LLATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />(3~.50 <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />p(NO <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />:5 <br />Cl3e 01 &&9j <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />********** ******************************************************* <br /> <br />SIGNATURE <br /> <br />k <br /> <br /> <br />, <br /> <br />;i)tL~ <br /> <br />COMPANY OJ /rIOJl Y;Pt(~ <br />STATE CERT OR REGIST # 00/3/3 Y- <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />=:K fJ^- i)fJ4ib <br /> <br />COMPANY , ~'JGL..+ <br />STATE CERT OR REGIST # CFGOL/~ 99 f <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ::iF * * * * *,p * * * * * * * * * *,,* * <br /> <br />~. COMPANY - Lt:; ..pf)JAl fJ~- <br /> <br />" W~ STATE CERT OR REGIST # CltCLJ5rJ 4/0 <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />COMPANY C 042twzrJ:' ~ <br /> <br />STATE CERT OR REGIST # flC.l-l ~- 0 /3 <br /> <br />~ <br /> <br />;f)~ <br /> <br />OTHER <br />