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<br />CITY OF ZEPHYRHILLS PERMIT AP~L~CA~~U~ <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING 8'" ,':3 7~;;{ - 95J.O <br />fZJGK,Abr fhru-p <br />~ LLC PHONE SI6 7f53- 75/'6 <br /> <br />___es<; p(5,'n-t- Win e <br /> <br />OWNER'S NRME ~ ~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />DSIGN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />QL..HfSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~ILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION. <br /> <br />& (1) SET ENE~~Y FORMS. <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />,/ . \ <br />/ 501) <br />(jl~ <br /> <br /> <br />"- <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />~MBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />!"""'~n~"""'~-""';--'''~-----.-T-''''''---~---r'''._''''---''-------~ -- -- ~- ~ - - - --~~,"'~ ...-....,.,._~~-.,......~---_.-:---;......."':'~"'7""'.....1r; -:"7I~"1'i'~"t""<'!.r <br />rt\~ll I I II ~~l t" ' jj' \ I ~ I' 1 fl, f_f" n:tlj q''lii~;.<!,fT~;ril-JI.1:J:~!:i~~~:~1,:...;I!t' <br />Iotl" .'",';'t'"!,, ",S" I" ' ~" ' ".': li,' ,r,', ~:r ,. t'Wll:,'~.,:', !;":",,,","y,;,~ ,'Vfu, <br />~:::.~~.:1:::.....lt_l_l~l..~.:.~"-.:.~:.,--"~:..:.,,~.::.:.._;,,..~';;':(_l.---. _.__.. ._ ______ __ .. __ _. _..!:__2~JL..:.:~.:llL!.~~ r. 1,'-"';' "":",,.,,'~~\II t"!W <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />PLUMBER ~ 1) (. \ "- <br />SIGNATURE Dtd ~ LU~ <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY QpA1Mi0/0Jf4~m5 P!v.fkh <br /> <br />STATE CERT OR REGIST # rJf~ II..{.;).. ,I)'O::J.- <br /> <br />r- <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />