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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 />JOB ADDRESS <br /> <br />, ( <br /> <br />BLOCK '& <br />PARCEL I D # 3S-- tlf)- 2 l - () \ZQ- orfYO- ~()..J) tj{) <br /> <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMI'I'TING?> I S ~ l' l ~ - 2f -7/..1 <br />\,)<1 tu' L \ \l bL <br />PHONE 8/3,2 gz.... J-It76,J j133, <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION W..l..fvLw) <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: III NEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: rilSGL FAMILY DWELLING DMULTI - FAMIL Y 0# OF UNITS o MOB ILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~' S& UtJl)({~~ ~~1Jft:r <br /> <br />BUILDING SIZE LtJs X l../.C) SQUARE FO TAGE ___~ <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 />~ILDING <br /> <br />~LECTRICAL <br /> <br />~PLUMBING <br />(b) t-l. f\./\^, - <br />FMECHANICAL $ ,~ VALUATION OF' t1ECHANCIAL INSTALLATION , / "3 <br /> <br />o GAS ~OnNG 0 SPECIALTY 0 OTHER # ~~ '7. <br /> <br />TYPE: OF CONSTRUCTION: if BLOCK 0 FRAME 0 STEEL 0 OTHER <br /> <br />tn. <g) <br /> <br />$ :;J qac:MP <br /> <br />PERMITS REQUESTED <br /> <br />SERVICE <br /> <br />o <br /> <br />TOTAL CONSTRUCTION <br /> <br />Progress Energy ~ <br /> <br />W.R.E.C. <br /> <br />VALUATION OF <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~O <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />f <br /> <br /> <br />. "'J <br />CBe D~(PCJj- <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />*******-***** k****************************************** <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />1J~ <br /> <br />CO~lPANY &If'(){)//....X;.,)r~ <br />STATE CERT OR REGIST # ()O /;3 /~-3 f <br /> <br />ELECTRICIAN <br /> <br />******************* k**********************************k********** <br /> <br />PLUMBER <br /> <br />~ <br /> <br />1J1L/~ <br /> <br />COMPANY iftuj{)'IU......-+ ,. <br />STATE CERT OR REGIST # CFt.....ol!J 9{1 ( <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />**************************:;tF****v~********,**** <br /> <br />~ COMPANY. lL~ - tJ'IJJ.J1 SO ~ <br />~ STATE CERT OR REGIST # CAW5;? A/ <br /> <br />*************** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />k***************************************************** <br /> <br />J COMPANY C. 0~ t....~{1it: /&r- <br />:/.-)-, <br />Lltr ~ STATE CERT OR REGIST # .110 I .s <br />U <br /> <br />s <br /> <br />********** <br /> <br />OTHER <br /> <br />.......... <br />lvqj <br />