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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 aTH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />LLn (Jar Y-:hrus, LA1~ <br />JOB ADDRESS 1 fn/5 :NJltJ ~frp~t <br />LEGAL DESCRIPTION: LOT(S) IO~ BLOCK ~ <br />. <br /> <br />PARCEL ID # .35-d.-5: "dJ~ DJ::JD .DDDDD~ J05D <br /> <br />PHONE 8/3 - r:z g2 - J-/(P6__31l3 <br /> <br />SUBDIVISION W..l-fvLuJ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: IllNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: l'iISGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-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 />o <br />Uif) S& <br />LID' X 5e; , Lj " <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />UCltJU~~ ~~~~J <br /> <br />SQUARE FO TAGE d 31 t.j <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 />/3DJ 5Z::D. t!2. VALUATION OF TOTAL CONSTRUCTION <br />. <br /> <br />$ <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 />~ 000. ~ <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: ~BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS J~~.~' <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />SIGNATURE. <br /> <br />STATE CERT OR REGIST # <br /> <br />:5 <br />Cl3c o;J6P&9j <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />******************************************************** <br /> <br />ELECTRICIAN . ~ <br />SIGNATURE.. ~ rx. <br /> <br />[ <br />~\ jre/~ tb <br /> <br />COMPANY Ed ty){]J1. '(;)t(--- <br />STATE CERT OR REGIST # 00/3/3 'f <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />, <br />7 / <br />c10nl <br /> <br />" <br />l <br />tJ;~ <br /> <br />COMPANY ~+ <br />STATE CERT OR REGIST # CFGOL/d 91 >? <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />** * * * ** *,*** * * ** ***I".~* * * * * ** * ** * ** * * **** * * ** :;tF* * ** 'k p* ** * * ** ** *.* * <br /> <br />_ V h r '1 COMPANY . Q ~ Il!JAAI J(1.~. <br />L-J)/..A""- i1a.J?{JJ:.J STATE CERT OR REGIST # Ci4CDs/J 4/0 <br /> <br />'- <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />****~:;:********:*****************:~~:~;:*~**~*~~**~ <br /> <br />Un t1aV(ii!rJ STATE CERT OR REGIST # /lei! ~-() /:3 <br /> <br />OTHER <br />