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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 <br /> <br />PERMITTING cr.> 1 ~ ~ q I ~ ~ 2f 39 <br />".3<1 tuJ L \ oJ tfl- <br /> <br />PHONE g/3 - cgg2 - J-k?6,31133 <br /> <br />Lui/lar !-/JIYJ::). J10 <br />-r5fJ f1\rr-cro \r\- \j \ \ \e ~A u i 0 <br />LEGAL DESCRIPTION: LOT (S) f1 q BLOCK ---&-- SUBDIVISION 6u..l.f-vLtvJ <br />PARCEL I D # 3)'- t25"- 2 I - 0 \ZO...- orxYt)- ~CfAD <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: I!I NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: I"ilsGL 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 />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />(;v <br />DESCRIPTION OF WORK 1JL 0 S U <br /> <br />BUILDING SIZE ,~.Dx(~.7) <br /> <br />\}(}lKI.Cc ~d( /1+-- <br />SQUARE FO~AGE c920~ J <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 /> <br />UILDING <br /> <br />$ <br /> <br />JClP f 7dD <br />(;CD <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE 0 Progress Energy ~R.E.C. <br /> <br /> <br />LECTRICAL <br /> <br />MECHANICAL $ 'kl \ QCD, - <br /> <br />o GAS ~OFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />lQ,. rt'J <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />~ <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***~-~.~~*********-************************************************* <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />If), COMPANY fJ!Jl10fl.Y;Jr!..-- . <br />" . :2 I <br />~ STATE CERT OR REGIST, # ()() /.:;;/-~ Y- <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />~ <br /> <br />/J)!li7$ <br /> <br />COMPANY ~tf)U+ .' <br /> <br />STATE CERT OR REGIST # CF(~{)'I d 9(1 f' <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * :.;e- * * * * i b.. * * * * * * *. * * ,* * * - <br /> <br />~ COMPANY . L'\ '1)/lt/) j'J fy~ <br />. "-~ STATE CERT OR REGIST # CI4CDS-;) ^II () <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />* * * *~* * * * * * * * * * *tJj...... <H..... .:. '(~:~::;:'(2' '0~ 'i:~;' '~fU' b- <br />. /..J-!:~ ,. o. <br />t' ~ STATE CER" OR REGIS" i ./16, s 10/3 <br /> <br />OTHER <br />