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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8D st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IWD <br /> <br />~ J;;J::; -D5- <br /> <br />d)~~c:xJ- <br />OWNER'S NAME .,\ O-X\\es \-\U \j(lC <br />- , <br />JOB ADDRESS 1~5 'i (1Q U ~ \ vd <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />ZewY-l\..\,\<, \ \~ <br />\ \ <br /> <br />PHONE 'i,?>.. ,I':) - & ':) ~ i""J <br />\=-\. 335<-t\ <br /> <br />LEGAL DESCRIPTION: LOT{S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 35 ~~ ~ I (Y,\[') (\ R'ftX) OCyf) <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />[] SIGN <br />PROPOSED USE: []SGL FAMILY DWELLING <br />pisoMMERCIAL <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />J-1)hl(J C\(10. A /r, 0. \\c\'S- <\- L,~\~ ~U-.~",d..~.(~ (' ~\\\\\G ~C\ \()\'\ I <br />, ~ \ <br /> <br />[] ADDITION <br /> <br />jQ ALTERAT ION <br /> <br />[] REPAIR <br /> <br />[] INSTALL <br /> <br />[] MOVE <br /> <br />[] DEMOLISH <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />[] OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />~. <br />~LJ?+NG <br /> <br />../' <br /> <br />~CTRICAL <br /> <br />PERMITS <br />9J() ~.$f <br /> <br />REQUESTED q;;l.j j06f <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />22i!- <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (l) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER 8 <br /> <br /> <br />$ <br /> <br />~'ING <br />o MECHANICAL <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[] OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />. 1113- <br />'3 51) --1)/(/1 <br />AREAO YES 0 NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE <br /> <br />BUILDER 1 <br />S rGNAT~lA.(l.l .) . STATE CERT OR REGIST # r j\~. (l \ (J q J:'1 <br /> <br /> <br />******************************************************************/' <br /> <br />Cl,~ <br /> <br />COMPANY <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />~. <br /> <br /> <br />\ \ \ ~ \ ( .~.^ ;::? ) <br />COMPANy\)t\\(\C\ \\o..~\ ore\ ,)../ <br />- <br /> <br />STATE CERT OR REGIST # Et,()()();::'5 r 1 ~. <br /> <br /> <br />* ************************************************* " 2~ v~ f <br /> <br />? / <br />COMPANY \'fI ()~\- '------/ <br />"--'Yi.-~ i __Q (STATE C T OR REGIST # ..~..I\c. \ ~ 13.~ --, Cj' ,./'/ <br /> <br /> <br />*******************************;~~**~.~t'~******************* <br /> <br />) COMP~~' <br /> <br /> <br />SIGNATURE <br /> <br />/~~..- <br />(//{MECHANICAL <br />~~--/ <br /> <br />'--.._-~----_. <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />