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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 />PARCEL ID # <br /> <br />LLn()Cur Y--:bftL~. LM6 <br />-JfcDq Cif/10 Sfr~Jlj- <br />/Dtc <br />,~5"'02 5" '02/...-D/:J-{) 4/YU){)" / D h () <br /> <br />PHONE <br /> <br />813 - 'gg2 - ~063 'fl3 <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />--- <br /> <br />SUBDIVISION Ou..l.fviti..J <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: rilSGL 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 />D <br />U~.OS& <br />'-to I X 1n5' <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />lJCZN/~_ r:LL~/lJ <br /> <br />SQUARE FO TAGE d) 5 t./ i <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 />$ <br /> <br />PERMITS REQUESTED <br />JL/L)IOL)QI~ VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE 0 Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />LJ: 000, '!E- <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: if BLOCK <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br />J.~ 9. 5:() I <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />:5 <br />CAe o1~&9s <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />********************************************************** <br /> <br />SIGNATURE <br /> <br />~'i '(1~ <br /> <br />1 COMPANY &J.fflfJIJ. 'oK- <br />(JLt;){~ STATE CERT OR REG:IST # 00/3/3 'f <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~k(Jd>1 <br /> <br />(\,. COMPANY ~-f . <br /> <br />N-(j J.{ -& STATE CERT OR REGIST # CFc,ol../~ 99 f <br />:/ <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />********************************************7r.******f************* <br /> <br />>/ ().. COMPANY -1[. l. ~rZ/lIJ~ Al JD .~ <br />'11u)ta,1!r /,-~II;'l6 STATE CERT OR REGIST # CACDS/J4/0 <br /> <br />**********************************~;~::::*~**~*~~**~ <br /> <br />STATE CERT OR REGIST # fl<::./-I ~- . () /3 <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />SIGNATURE <br />