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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 RECE IVED <br /> <br />~7/o$- <br />I / <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />~I n:J4.. Ad< I; t'l <br />N.~r:d) !-k dJr . <br />LEGAL DESCRIPTION: LOT (S) (i)Coro 0 BLOCK CD~ <br />PARCEL 10 # 03 -c;;<,/O-OU.- DI!YO -Of.Xr:D - 0&>00 <br /> <br />OWNER'S NAME'RO be,.,-..+- c:::i <br /> <br />Joj/jjJss . ~~ <br /> <br />PHONE IS f3--- 7 &'c2 --f.) rd..$' <br /> <br />SUBDIVISION <br /> <br />Ol,ft) <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br />o SIGN <br />PROPOSED USE:~AMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <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 />DOTHER <br /> <br />~ILDING <br />~ECTRICAL <br /> <br />o RESTAURANT & HEALTH DEPARTM~NT. APML ~ .... <br /> <br />DESCRIPTION OF WORK -.D 'P1A-\.s:.l rLez I~ 4~L ~l ~e.( (d~~ <br /> <br />BUILDING SIZE '70 X LI::;./I/-4' SQUARE FOOTAGE ~/to 1bt:ftJ.... HEIGHT /,f/'-/.f <br />. .~ 0 ..s: -f-to r-i.1 <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, DC ot:. v <br /> <br />JJ )l2$7":;;1)i\.F-J1 <br /> <br />PERMITS REQUESTED <br /> <br />$c:X'OO (l}f) f)ZJ VALUATION OF TOTAL CONSTRUCTION <br /> <br />cXQ D AMP SERVICE 0 Progress Energy D <br /> <br />W.R,E,C, <br /> <br />VPLUMBING <br />PM'ECHANICAL <br />D GAS ~FING <br /> <br />$ ~500Dc) <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />SIGNATURE, <br /> <br />~~~.H.:~:~:.~:~~.~~.~:~~:~.:.:::..?:~5 /51 <br /> <br />BUILDER <br /> <br />EI&CTnC'ANb~~;U <br />SIGNATURE' . <br /> <br />COMPANYf'\\cu--H t'\.., C-I~LL <br />STATE CERT OR REGIST # e-L.- J3()eJ /3((3 <br /> <br />PLUMBER ....................:....::.......:::::::.~;:~;~~~~~:~~/~ <br /> <br />SIGNATURE ~ ~~ STATE CERT OR REGIST * c:.-FC.. J<I:(~4>{).:L <br /> <br />************ ***************************~-*. ********~** * 11*** , <br />MECHANICAL / _ COMPANY -......:::L)' VI.. ..g ~ <\. <br /> <br />SIGNATURE p~ STATE CERT OR REGIST # R m fC}{) <br /> <br /> <br /> <br />OTHER <br /> <br />******************:~**********~********* .;1( <br /> <br /> <br />COMPAN~ ~"'f-rLl~ O(,)V\lL <br />STATE CERT OR REGIST # ~ J3:25505 <br />