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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 c....j a Jl\rJ <br />DATE RECEIVED ~ /',/v,J <br />( I <br />PHONE CONTACT FOR PERMITTING ,\ohn l i ueJ,} <br />~ 13.-C1lg ;)~3'1 <br /> <br />PHONE J:J--fJ g:.., II ~'" 3 '}13 <br /> <br />Lu,()Cvv ~fk'l:J. Jz6 <br />{1jtrcrnni vi/Ie ('fl_ <br /> <br />LEGAL DESCRIPTION: LOT(S) ~2) BLOCK t15 <br />PARCEL I D # :!fj-;JlQ - C) 1 - ~ - ['~L{ 30 <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION W..l+vLtvJ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: IllNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN 0 MOVE 0 Q~t-10LISH <br />PROPOSED USE: IlISGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK U-'O $& <br />BUILDING SIZE ~)CL/l) <br /> <br />UCZ'"U~, ~ ~J- <br /> <br />SQUARE FO TAGE <br /> <br />HEIGHT ~I <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 />CS\ BUILDING <br />tQ. ELECTRICAL <br />ti PLUMBING <br />~ MECHANICAL $ ~ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS lttROOFING 0 SPECIALTY 0 OTHER <br />TYPE OF CONSTRUCTION: if BLOCK 0 FRAME <br />13I.~(j <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />J 3=l) CJci() VALUATION OF TOTAL CONSTRUCTION <br />cXD <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy ~ <br /> <br />W.R.E,C, <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />j(NO <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />:5 <br />Cl3c o;j&&9~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />i/m <br /> <br />'\ <br />fi)Cu;db <br /> <br />COMPANY &I/(U'211 't;;.J1{--- <br />STATE CERT OR REGIST # 00/3/3 f- <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />;j)~ <br /> <br />COMPANY ~+ <br />STATE CERT OR REGIST # CFGo,-/eJ 99 f <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * :.;;;F * * * * *.p * * * * * * * * * *.* * <br /> <br />~ ^ COMPANY. L~ './Jilt.dJ J()-f9u <br />" /l{ A.J)tL-j.lJJ STATE CERT OR REGIST # Ci4CLJ50 4/0 <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />......;;........................ ::~:~::. (i" ~. Z;; Z' .~+-- <br /> <br />7\IM ~ STATE CERT OR REGIS" * '7fG~.3 <br /> <br />OTHER <br />