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<br />CITY OF ZEPHYRHILLS PERMIT APPLICAT~UN <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />.,. <br /> <br />DATE RECEIVED <br /> <br />6/13/0f <br /> <br />, <br /> <br />PHONE CONTACT FOR PERMITTING-.3:)2- z.?8-/S""~8 <br /> <br />.. c;;oh~ J"" L NC-, <br /> <br />OWNER'S NAM0c~/- 1(4,.-:-57-;-;--'/1) Clf 2/~?,;/r)Au(" PHONE <br /> <br />JOB ADDRESSS7r -::;Lj 6' /)//. .p='LL/,() <br /> <br />LEGAL DESCRIPTION: LOT (S) / / BLOCK SUBDIVISION <br />. i ~ f:cc'. . <br />PARCEL ID #i/ 26 Z/ 0C..:J/OV -'J(JZ- .5,-/ (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION ~DDITION 01rt,TERATION 0 REPAIR 0 INSTALL <br /> <br />o SIGN <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 />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION <br /> <br />OF wo.f1 <br /> <br /> <br />& ijij~T~DEPARTMENT APP~VAL <br />~'j)j>L i\fnlll-.!..,,- ~I\.TI.L(>)tJ L <br />c-" . / S(' ti <br />HEIGHT C. 3 td C <br /> <br />f~l~ <br /> <br />SQUARE FOOTAGE <br /> <br /> <br />BUILDING SIZE <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. ~h.-')'SrJ vvT <br /> <br />fGrL AW)Tr~;\.A"- <br /> <br />e,0-/1I\ 1"'\ r;;,~ <br />~Ti lUL. 16...:.: i -.:V ~J r <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 />ri BUILDING <br />d ELECTRI CAL <br />a'" PLUMBING <br />~ECHANICAL <br />o GAS ~ROOFING <br /> <br />$ <br />f "l ~ n tJ ~. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <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 />f1 qS3/ <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK gI FRAME <br />FINISHED FLOOR ELEVATIONSro()1Cl~ &.IS it tJe"' <br /> <br />~TEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />SIGN~~ <br /> <br />STATE CERT OR REGIST # L, GG (!(p/ t~.r:; I <br /> <br />***************~ <br /> <br />********************************************** <br /> <br /> <br />SIGNATURE <br /> <br />COMPANyfflL - I A! - (')1\ ) E n J7C'ir 'C'_ d <br />/" . <br />.. STATE CERT OR REGIST # C, c' / ..J.38 / ./vI:IjC ? <br /> <br />********************* <br /> <br />******************************************** <br /> <br />SIGNATURE <br /> <br />~ - <br />COMPANY LLON l~ . tcu.-rn.h,."l6. <br />STATE CERT OR REGIST # OFt.! /i./.!)..62- 6~ <br />. . <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />******************************************tt********************** <br /> <br />COMPANY HlrO r{'y] fh I c.S <br />STATE CERT OR REGIST # {,,*JC (, <;16o.'::J- 7 <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />