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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 RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />JOB ADDRESS <br /> <br />LLn ()tbV Y-bft/6, LM~ <br />7":)~1 ,YJllJ ,-rfrfJ;--1 <br />LEGAL DESCRI PT I ON: LOT ( S ) / () f <br />PARCEL ID # .35' eJ..r; "J/" ollO/)-Cfl;{j)- /Oy() <br /> <br />PHONE <br /> <br />813 - ~g2- - J-/-(P63113 <br /> <br />OWNER'S NAME <br /> <br />BLOCK <br /> <br />......- <br /> <br />SUBDIVISION W..l.f-Vuv) <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: l:iI SGL 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 />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />LSI.o S& <br />4-D J X '1q . ~ If <br /> <br />U{JbX!~ - ~~~a-- <br />SQUARE FO TAGE )q 7J-. <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 />IDY/ t.X;C), O..!2- VALUATION OF TOTAL CONSTRUCTION <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 />d rv-/'\, ~ <br />~ ~ VALUATION OF MECHANCIAL INSTALLATION <br />o SPECIALTY 0 OTHER <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK 0 FRAME <br />/3 .-"l .SD " <br />FINISHED FLOOR ELEVATIONS -~ <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />:5 <br />CI3C O;JIZl&9i <br /> <br />COMPANY <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />.~" <br /> <br />J)eULiI-!;b <br />f <br /> <br />COMPANY [):Il'(}rJfl ~ <br />STATE CERT iOR R~GIST # 00/3/3 f <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />"17rx- <br /> <br />~tu1~ <br /> <br />COMPANY /t1~+ <br />STATE CERT OR REGIST # CFGOtfd 99 f <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * *It. * * * * * * r * * * * * * * * * * *..* * <br /> <br />J ) n COMPANY .1(- Q ~17./1JLj/ J(l-t9u <br />'Yi ()r . 4 )(1/-1/t'~ STATE CERT OR REGIST # CAe LJ5/J 4/ {) <br /> <br />..... .i/........ ~;.........~.. ~~~;::. (i" &~.~~. H~~ <br /> <br />j.l f)( I- V!ltt ftth STATE CERT OR REGIST # 11(':/--1 s .0 13 <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br />