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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-Q021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />LLn ()ay Y-bft/6, LM~ <br />JOB ADDRESS .1S-LJg SenD stru;t- <br />LEGAL DESCRIPTION: LOT(S) lD~ BLOCK ~ <br />PARCEL ID # :85""'~<:;""'d-1- ()))...()-()(){)DD-/Cf1() <br /> <br />PHONE 813 - ~g2- - J-/-(P631l3 <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 />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: l:iISGL 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 />J'D I l/ <br />BUILDING SIZE ~_ ~ <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />LSI.o s& <br />W) '..2. II <br /> <br />dOhXf]~ ~);ff 11- <br /> <br />SQUARE FO TAGE d 3 74- <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 />J~10/~,O~ 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 />~ ODD. 02 <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 />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />J:;J 9.DD ' <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 />Cl3e ot.j/~&9~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />************************************************************ <br /> <br />SIGNATURE <br /> <br />~(t <br /> <br />fhiJ/~~ <br /> <br />COMPANY [}I JY}r)J1 ~ <br />STATE CERT OR REGIST # 00/3/3 f <br /> <br />ELECTRICIAN <br /> <br />****************************************************-************* <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />U ti <br />A ,Yl'1;{; Y <br /> <br />COMPANY ~+ , <br />STATE CERT OR REGIST # CFGOtfJ 99 f <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * * * * * * * * * * *..* * * * * * * * * * * * * * * * * * * * * * * * */( * * * * * *f * * * * * * * * * * *.* * <br /> <br />, // ..~. COMPANY -=t:[- ~ ~r;t:lJl)~ AI S<J.~ . <br />q(tM j (a/tl( f0 STATE CERT OR REGIST # c/4('LJ,S/J 4/0 <br /> <br />.... ...... ... ....... r:...... .~..~~~:::. Z"-;g;;;Z;;;' '~-i- <br /> <br />~(f,^-- )ll1<;t{!7 STATE CERT OR REGIST * IlC./!s'-OI3 <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br />