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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 STH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />LLn ()ay Y-bft/6, LM~ <br />JOB ADDRESS 7'5.3 I cfeno Stred-" <br />LEGAL DESCRIPTION: LOT(S) III BLOCK ~ <br />. <br /> <br />~s-- ~~ ..~J.... D/;LO. O()()DO .// /0 <br /> <br />OWNER'S NAME <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PHONE 813 - ~g2- - ,;.f(P6,-3113 <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />SUBDIVISION W..l.f-vuv) <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: CiOSGL 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 />D <br />&os& <br />'ID I Yb~' <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />il,J2l'lU '~~ ~[}( ).( -;f ~J- <br />SQUARE FO TAGE d1. ~'-I <br /> <br />DESCRIPTION OF WORK <br /> <br />HEIGHT <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 />PERMITS REQUESTED <br />/~l>,D~,~ VALUATION OF TOTAL CONSTRUCTION <br />I <br /> <br />o BUILDING <br /> <br />$ <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />~ CJX) .o.e.. <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: g"BLOCK <br /> <br />o FRAME <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />COMPANY <br /> <br />:5 <br />CAe 01 &&9J <br /> <br />******************************************************** <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN <br /> <br />~l <br /> <br />~t(il dP <br /> <br />II <br /> <br />SIGNATURE <br /> <br />COMPANY &l1Y>{]~ Y;.JL <br />STATE CERT OR REGIST # 00/3/3 .V- <br /> <br />****************************************************************** <br /> <br />^ Oav,tf t, <br /> <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~ * * * * *.~ * * * * * * * * * * * * <br /> <br />~ J COMPANY. ~ '( '4)1A1fJ~ <br />}t ) 'tlli-tb STATE CERT OR REGIST # Ci4LLJ5/J 4/0 <br />I <br /> <br />PLUMBER <br /> <br />~J( <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY ~~+ _ <br />STATE CERT OR REGIST # CFc,o'lJ. 99 f? <br /> <br />OTHER <br /> <br />~Qt <br /> <br />***************************************************************** <br /> <br />COMPANY C. &m b1!J. ~1- <br /> <br />STATE CERT OR REGIST # I1c./-I ~-o l~ <br /> <br />SIGNATURE <br /> <br />^OIJ.~t& <br />