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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//~/7JS <br /> <br />, <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OW~ER' S NAME-4?, ~'L~-J-r~ ~ ~PHONE '&?.e --U.:<-CZ?~~ <br />JOB ADDRESS~ _ __ ~O~ <br />LEGAL DESCRIPTION: LOT(S) O~ BLOCK~ SUBDIVISION_~3V' <br />PARCEL ID #3J../~ ~t - ()f3c> -~CO- Dfb 0 (OBTAIN FROM PROPERTY TAX NOTICEl <br />WORK PROPSED: ~ CONSTRUCTION 0 ADDITION DALTERATION 0 REPAIR 0 INSTALL <br /> <br />DSIGN <br />PROPOSED USE:~FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 WORK n~ s (nc; Ie.. ~L ~ ~/d(?~e- <br />BUILDING SIZE 481 ~ X' 1-81;r~ SQUARE FOOTAGE ;2.. () z 4 ~EIGHT g I <br /> <br />~ILDING <br />~ECTRICAL <br />~~BING <br />~ECHANICAL <br />o GAS ~ING 0 SPECIALTY <br />TYPE OF CONSTRUCTION:~CK <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 />Ch~~d ~ +t J~ <br /> <br />PERMITS REQUESTED <br />q ~ <br />$ / I If {)c)O. VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ CJQ:::> AMP SERVI~E ~ Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ ~()O,u'D <br /> <br />VALUATION OF <br /> <br />MECHANCIAL INSTALLATIO~ L(?l/5 <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />I S PROJECT IN FLOOD ZONE AREA 0 YES ~ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUIIDER ~ _ COMPANY~ 0-... [0 """ ,+-r~ ""--~ <br /> <br />S IGNATUR~.S:J.. -......~... H' :~~~:. ~:~~. ~~. ~:~::~.:.::~: ~3 5 J 31 <br /> <br />ELECTRICIAN / 1./ ,_1 j- COMPAN&.s ~ ?aA",-~jE e..Jn ...., <br />SIGNATUR~-1'::::>~ ~1..t=... STATE CERT OR REGIST . E g OO/MI <br /> <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br /> <br />OR <br /> <br />MECHANICAL <br /> <br /> <br />SIGNATURE <br /> <br />***********************~**~1**** ** ** <br />COMP A ' ('<C;::.> -e- ~ <br /> <br />.... STATE CERT OR :GIST # (l ~ 0 tf8<f1rf: <br /> <br />COMPAN <br /> <br /> <br />******************** ~ <br /> <br />~~~~L- <br /> <br />STATE CERT OR REGIST <br /> <br />#~/3~505 <br />