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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 />):::hn \..\\Je.\,\ <br />PHONE CONTACT FOR PERMITTING ~ l3..q ,?-155' <br /> <br />OWNER'S NAME <br /> <br />Lu, (Jar 1-bfU~, ~~ <br />JOB ADDRESS . '7 % 17 t\'erc~\J \ \ \e.. t01 Q. \ a. <br />LEGAL DESCRIPTION: LOT (S) c...~L\ BLOCK tZ5 <br />PARCEL ID # .~':)-c;15-oH-~~~-czS- D::>'40 <br /> <br />PHONE 8'3 - 25 g2 - J-/h631l3 <br /> <br />SUBDIVISION W.J.....f-Vu..v) <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: rmSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI - 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 />L51~ 0 S& <br />eJ)x 3B.~ <br /> <br />UCZN2?/ ~' r:LJ~:r- <br /> <br />SQUARE FO TAGE. ~ <br /> <br />HEIGHT ~ <br /> <br />DESCRIPTION OF WORK <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 />CIS I r <br /> <br />PERMITS REQUESTED <br /> <br />~UILDING <br />~LECTRICAL <br /> <br />$ \alo J"ldD <br />dDD <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy <br /> <br />~ <br /> <br />W.R.E.C. <br /> <br />~LUMBING <br />~HANICAL $ 3,~ <br />o GAS ~ING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: g'BLOCK <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <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 [Q--116 <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />:5 <br />(Be o1/::;&9j <br /> <br />BUIWE. ~ <br />SIGNATURE . l~ <br /> <br />rDfftt~ <br /> <br />COMPANY <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />c/?~ <br /> <br />tD COMPANY 2d/Yl{)Jl'DfL- <br />au @ STATE CERT OR REGIST # 00/3/3 Y- <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />cf{ndu4 ~(Uj# <br /> <br />COMPANY ~+ <br />STATE CERT OR REGIST # CFc,oLfJ 99? <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />* ** ** **** * **** ********** * * *** * ** ** * **** * **~ *** **~* * * ** * ****.** <br /> <br />~ COMPANY - L~ 'i>/l'Al fJJ9u. <br />(/~ ~ STATE CERT OR REGIST # cALLJ504/0 <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />~"'~HH~"~:~:::'CH&~'~;"~k <br /> <br />~ STATE CERT OR REGIST # /le./I i:,-O l~ <br /> <br />OTHER <br />