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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 />PHONE CONTACT FOR PERMITTING <br /> <br />Lu,()ar Y-/JI'iIS, LM6 <br />7 0d-/ J:ef1~. <irred- <br />LEGAL DESCRI PTION: LOT (S) / D J.j <br />PARCEL I~ # .3S"";).~ ~/ J fJ1t!/IJ 6J2/Y(;(:t:iJD ./b'-/O <br /> <br />OWNER'S NAME <br /> <br />PHONE 8'3 - gg2 - J.-jh631l3 <br /> <br />JOB ADDRESS <br /> <br />BLOCK <br /> <br />-- <br /> <br />SUBDIVISION W..l-f-vUuJ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: CilSGL 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 />lS/.n s& <br />3 y I if " Yo ~" <br /> <br />UaU1U~_ ~/;r /IT <br /> <br />SQUARE FO TAGE dl3Dt./ <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 />o BUILDING <br /> <br />PERMITS REQUESTED <br />$ /,;1. ~ ODD. elL VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />i ()()D, Ii) <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OT HER <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS /L/7iOD I <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />:s <br />CI3C o;j~&9~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />********************************************************** <br /> <br />ELECTRICIAN ~ <br />SIGNATURE (1' <br /> <br />,( k'{H~ <br />, <br /> <br />COMPANY [}J /(/t1fl Y/t<----- <br />STATE CERT OR ~EGIST # 00/3/3 'f <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />~ <br /> <br />/10 J' {eHJ <br /> <br />COMPANY ~+ <br />STATE CERT OR REGIST # CFGO'IJ, 99 f <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />******************************************~*****~************ <br /> <br />~. COMPANY. ~ ~ '.j)fJJ..JJ. 50 ~ . <br />. Af;~ STATE CERT OR REGIST # CltCLJs/J /f'j 0 <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />'H/m'r:.'~:~""""~~~::;:'(i"~'bi;~~ <br /> <br />~ ~~ ~ STATE CERT OR REGIST # .' -.~ <br /> <br />OTHER <br />