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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 -h <br />813-780-0020 FAX: 813-780-0021 Pa.l.<,.,\ i(oz:.e"",,,V) c-. -? U 1"5- <br />DATE RECE IVED ?.' L I..-./-Y <br />lfo Ll-:J- 71- goc') u <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME C{OuJ~ C S +(f: <br />JOB ADDRESS .~~ <br /> <br />g;3 - <br />PHONE -'f J 7 -S-S-'I'1 <br />3g522~ fj 4v'e . <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL 10 # J4-d.-b-2) -Do I D -0/700 -()o- 'l)ObQOBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />~ INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL 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 />N OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />SQUARE FOOTAGE <br /> <br />~ {trhlr"\-e-f ~ <br />-e )(:.t S h 5 ce I /7d vU,/;-; <br />HEIGHT <br /> <br />DESCRIPTION OF WORK d..dd..l'-h~ <br />BUILDING SIZE I 'f X /.1::, <br /> <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 ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />'L~ 1,:;- c I'?WXs, <br /> <br />r,. <br />- '.J <br />52-,) ~ <br />.~ <br />...,,-- --- <br />W.R.E.C. c?D <br />11 3/5 ~ <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />J. <is 5m 1;0 <br />$ ) <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATIO~~ <br />o OTHER / ~ (j;< <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS c>" q{'D.-J-e. <br /> <br />I S PROJECT IN FLOOD ZONE AREA 0 YES ~ NO <br /> <br /> <br />~IW'R '~ <br />SIGNATURE,//(jL~ . RJ< <br /> <br /> <br />****************************************************************** <br /> <br />LJ '" J (\ /J I. J S .....:'""2 A I". <br />COMPANY+-/'V vr,e IU ,/-t;(eI115 _ {JL~ <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICI~ . <br />SIGNATURE (< t././/~ 4/...( <br />I <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />