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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 ~I IQll~ <br />DATE RECEIVED ~ <br /> <br />PHONE CONTACT FOR PERMITTING john \\ vel y <br /> <br />LLn()ar 'l--/JI't/S, LM6 <br />79()b (YIcrcf-uo-f vale Cr <br /> <br />LEGAL DESCRIPTION: LOT(S) J~~ BLOCK ~ <br />PARCEL I~ # 3S -d.-S" ~ c9( - r,b - 1.37u <br /> <br />OWNER'S NAME <br /> <br />PHONE <br /> <br />813 - q/g ~~3'Z <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />Ou..lf-v LtvJ <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: rilSGL 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 />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />&os& <br />.5C,. 4 x l/LJ <br /> <br />UCZ,X1 ~~ wJ/;r 11- <br /> <br />SQUARE FO TAGEdDILf <br /> <br />HEIGHT <(ft- <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: AT~~CH (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 />~LECTRICAL <br /> <br />~LUM8ING 3S00 <br />~ECHANICAL $ _______ <br /> <br />o GAS ~OFING 0 SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: if BLOCK <br /> <br />$ I.~J57lJ <br /> <br />, <br /> <br />02U:.J AMP <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />SERVICE <br /> <br />o <br /> <br />Progress Energy ~ <br /> <br />W.R.E,C, <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />l3S .50 <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES .l@JNO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />:5 <br />Cl3e o1~&9S <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~. <br /> <br />lO,~ <br /> <br />COMPANY E'd 1Y1{)~ <br />STATE CERT OR REGIST # 00/3/3 .V- <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />/ <br /> <br />i::01- <br /> <br />Pilu7dY <br /> <br />COMPANY ~+ <br />STATE CERT OR REGIST # CFc...oL/d 99 f <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />******************************************~*****~************ <br /> <br />,~ ~ ~\ COMPANY. Q ~ 42/Al J().~ <br />~ ( II};L J1J;aLJ~ STATE CERT OR REGIST # CACDS/J /..(; 0 <br />f/ <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />* * * * * ~; * * * * * * * * -;; * * * * * * * * *:* *::~::;: * c * * ~ *Z;;;* *~ <br /> <br />/)(11J.1- /ziJ~ STATE CERT OR REGIST # 'llCj/~-()/.3 <br /> <br />OTHER <br />