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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:B13-780-0021 <br /> <br />DATE RECE IVED <br /> <br />7/0 <br /><\~ , <br />iuJ/lar !-/JfY.l5. LM6 <br />.~ \1\~\rtDNV; I \L Ll'l\ ('.Lo <br />LEGAL DESCRIPTION: LOT (S) CD 0 BLOCK -& SUBDIVISION <br />PARCEL I~ # ~~- d.-5'- 2 l- 0 \ZQ- oo.Yb- ~(){ odD <br /> <br />PHONE CONTACT FOR <br /> <br />PERMITTING '7), s~ q l~ - 2<;"-7/1 <br />,XJtUJ L \ 06i8 <br /> <br />PHONE 8/3 - '3 g 2- - .1-)0,63 j!-7, <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />6u,J,-!v [tVJ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: III NEW CONSTRUCTION o ADDITION o ALTERAT ION o REPAIR o INSTALL <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: I'!ISGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE~~ ~ <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />-..1dL /~ l Ja i)(I~~-. rvJA',)~ cCr /S+-- <br />~ - d:l SQUARE FOOh"E 6t2:[)~ <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 />)zOsUILDING <br /> <br />~ELECTRICAL <br /> <br />J1!PLUMBING <br />'lA t-l. f\.^^, - <br />~ MECHANICAL $ ,~ VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS fJ100FING 0 SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: g" BLOCK 0 FRAME <br /> <br />FINISHED FLOOR ELEVATIONS ~Lo. aD <br /> <br />$ <br /> <br />Idu. {~ <br />CJoo <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE 0 Progress Energy ~W.R.E.C. <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJEC" IN FLOOD ZONE AREAD YES ~NO <br /> <br /> <br />BUILDER <br /> <br />1/ - ., d'~> ;~th-.. <br />_'lL~ ~ r~I-V _ _ <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />CI3C VI} &&9j- <br /> <br />***~-~IWW****~***~************************************************* <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />JP~~ <br /> <br />COMPANY t~1 /1IOI~f(__ <br />STATE CERT OR REGIST # (){) /:3 /.3 .'1 <br /> <br />ELECTRICIAN <br /> <br />***************************************************************k** <br /> <br />PLUMBER <br /> <br />~ <br /> <br />I~ <br /> <br />COMPANY ~~+ , . <br />STATE CERT OR REGIST # CFwilJ 9(}? <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />* * * * * * ** * * * * ** * ** ** * ** * * * ** ~* ** * * 'l;* * * * * * * * * ,< * * - <br /> <br />COMPANY . Q ~ -~)j ~:() jCJ .~ <br />(IX STATE CERT OR REGIS'!' # CACLJY) /-f/O <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />***************************************************************** <br />I <br />I / IJ - COMPANY C - U&JtLf16:- ~t- <br />1)rfl){ }VtLLf'D STATE CERT OR REGIST # .lIul ~- ';0/3 <br /> <br />SIGNATURE <br />