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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, E'L 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br /> <br />Lu, ()ur Y-/JtiI~, LM6 <br />00 jcro Sf. <br />LEGAL DESCRIPTION: LOT (S) 13 d BLOCK -0 <br />PARCEL 10 # ~c9S" -G).l- - r6 ~ 1:36XJ <br /> <br />OWNER'S NAME <br /> <br />PHONE <br /> <br />~ Cj.1 <br /> <br />.'1:. j~ ,'(2 <br /> <br />JOB ADDRESS 'll.t ~ if <br /> <br />SUBDIVISION W..l-f-vLei-J <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 />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: riilSGL 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 WORK Wl (J S& Il.. JOJllU ~~ r:LJ.I )~ /IS-- <br />BUILDING SIZE 1tx9.x'fO SQUARE FO TAGE cJma HEIGHT 2.f.L- <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 />aYBUILDING <br />~ELECTRICAL <br />~PLUMBING <br />c(~~CHANICAL <br /> <br />$ IJJ ~l(j <br />cS:Jf5D <br />AMP <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />SERVICE <br /> <br />o Progress Energy )(C <br /> <br />W.R.E,C. <br /> <br />$ <br /> <br />3Y:JG <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />cr;~OFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK 0 FRAME <br />FINISHED FLOOR ELEVATIONS j5{J [j..) <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~O <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />s <br />Cl3c oJjiP&9!1 <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />cj/f'1---. ~ <br /> <br />COMPANY Ed I(){)~ <br />STATE CERT OR REGIST # 00/3/3 .V- <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />cj(j~ <br /> <br />A O(lLltM <br /> <br />COMPANY ~~+ <br />STATE CERT OR REGIST # CFGOL/d 99 f <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />** ** ** *** * * ** * ******** * * *** * * * ** ** *** * ** * * ~ * ** **'b.. * * * ** * ** * *.** <br /> <br />~ COMPANY . ~ 3. '1)11 Al JD ~ <br />If)( W(ij/~7 STATE CERT OR REGIST # CltCLJ50 4/0 <br />,y <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />* * * * * ~;* * * * * * * * * * * * * * * * * * * * * * * *::~::: * (i * * ~ *~;* *~ <br /> <br />/\tlJ( tfJV<<lft& STATE CERT OR REGIST # IlC..l-l !:'-O /.:3 <br /> <br />OTHER <br />