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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 />PHONE CONTACT FOR <br /> <br />DATE RECEIVED <br /> <br />PERMITTING ~1:S~ 9}~. 2f39 <br />\J(J tu' L,.J Di-- <br />PHONE 8'3 ~ rg g2 - J-I-~1~;\_3 }133 <br /> <br />OWNER'S NAME <br /> <br />Luioar I-hms. U16 <br />JOB ADDRESS -,,~\ 8 ~ \:<1N\J ~ \ \e, C A U 11' <br />en \ BLOCK --&- <br />PARCEL I ~ # 3S"- tJ-[;. 2 l- 0 \ZO- 00.)1)- ~ ti ()\ 0 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION <br /> <br />W..ll-l/L~' <br /> <br />(OBTAIN FROM PROPERTy~[CE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: I"iISGL FAMILY DWELLING DMULTI- FAMlL Y 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~ 0 sCt Uo '1((~ - r0 / .1.t i!(;( /I j- <br />( cd.f))( YO. 0 SQUARE FO TAGE 0f)EJd <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 />$ <br /> <br />~ IOAMp <br /> <br />PERMITS REQUESTED <br /> <br />9'?aUILDING <br /> <br />~ELECTRICAL <br /> <br />)i1 PLUMBING <br /> <br /> <br />~ MECHANICAL $ 1--\ ..QfY{J - VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS ~OOFING 0 SPECIALTY 0 OTHER <br /> <br /> <br />TYPE OF CONSTRUCTION: if BLOCK 0 FRAME <br /> <br /> <br />FINISHED FLOOR ELEVATIONS Jf)lJ 50 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />SERVICE 0 Progress Energy )i:lJ <br /> <br />W.R.E.C. <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~O <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************k** <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />('j COMPANY &1/(J{)f},..VtC-" <br />t.J) M JI~ STATE CERT OR REGIST # DO /:1 I-fr <br /> <br />ELECTRICIAN <br /> <br />************************************************************k***** <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />~ COMPANY ~~+ . . <br />. 1dtLJtLt' STATE CERT OR REGIST # CFC,o'IJ. 9tJ? <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />******************************************:;2F*****~************ <br /> <br />k ~ COMPANY. ~ 3 -'I12t:{1 JD bu <br />. ~ STATE CERT OR REGIST # ('ACt)':;;') A//O <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />...~,........,.."."............,....."'."'.,.,.,....~ <br /> <br /> <br />_ COMPANY C. 0~ tLf1t- ~fUlt--- <br />' ;JJ-t~ ,. <br />.WIt J~ STATE CER'!' OR REGIST i /10, S 10/3 <br /> <br />OTHER <br />