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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 <br /> <br />DATE RECEIVED <br /> <br />5~ ."[05 <br /> <br />PHONE CONTACT FOR PERMITTING .)enn l \ \if:: \\.\.-. <br /> <br />L.u1 new- 'l-:6fU~, LM6 <br />JOB ADDRESS '1iS7 ~cJanIVJj1' (l~ <br />LEGAL DESCRIPTION: LOT(S) ~~ <br />PARCEL ID # ~- d5-d \ -M1o <br /> <br />OWNER'S NAME <br /> <br />PHONE <br /> <br />8/3 - ~~~_ <br /> <br />6u~-I-vu.vJ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />rp - D\{ro <br /> <br />(OBTAIN FFOM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERC IAL <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 lSt.o SU <br />BUILDING SIZE m. 4><. ~o <br /> <br />Utlu1U~~~ ~1t- <br />SQUARE FO TAGE fIJfb ~~~ <br /> <br />HEIGHT <br /> <br />l?tt <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 />~UILDING <br />~ECTRICAL <br />~MBING <br />~HANICAL <br />~/ ~ING <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 />$31~ <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER -if Ll3~ 0 <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />\~ -"1. CD <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />rg..-r:r6' <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />:5 <br />Cl3c o1i:?&9j <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />%j~ ;)JdWF <br /> <br />COMPANY Ed fY)~,-" <br />STATE CERT OR REGIST # 00/3/3 .V- <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />~l114r <br /> <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~ * * * * *.p * * * * * * * * * * * * <br /> <br />, I. COMPANY - ~ ~ VliJA A) J(l.-K9u <br />c;Ir:!~ &w;/ffi STATE CERT OR REGIST # CACLJs/J 4/0 <br /> <br />d)CUL?ctb <br /> <br />COMPANY ~~+ <br />STATE CERT OR REGIST # CFGoi./~ 99 f <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />.. .;;.... *... * ;a' * * * *. * *.. ~*. ::~::: * C" ~ 'Z:;;' '"&t:t- <br /> <br />%~ ~ STATE CERT OR REGIST # IlC..l-l~- 0/3 <br /> <br />OTHER <br />