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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 />1-h/'i/5 , J16 PHONE <br />f1\t(c}yJN-u~ LIe 6' Jl J11R <br />(OS BLOCK -&.- SUBDIVISION Ov.J.-I-vltvJ <br />PARCEL ID # 35"'- t}-;)- 21-0 \ZO- o(t(b-~G..Ds[) (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />OWNER'S NAME <br /> <br />Lu, IJar <br />,55D <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR <br /> <br />PERMITTING?)I:5... q l~ - 2f39 <br />'- 1dtu' L\vbL <br />81J. gg.z- - Ji~1dJ,3 j133, <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />WORK PROPSED: ~ NEW CONSTRUCTION <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: I'ilSGL 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 />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br /> <br />BUILDING SIZE <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 />~ ~ VALUATION OF 'J'OTAL CONSTRUCTION <br />_______ AMP SERVICE 0 Progress Energy ~ <br /> <br />~UILDING <br /> <br /> <br />~LECTRICAL <br /> <br />~LUMBING <br /> <br /> <br />~MECHANICAL $ 'kl \ Q:;CO, - VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS ~OOFING 0 SPECIALTY 0 OTHER <br /> <br /> <br />TYPE OF CONSTRUCTION: g' BLOCK 0 FRAME <br /> <br />(3).cfJ <br /> <br /> <br />$ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />ELECTRICIAN <br /> <br />\lu~ <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />kQtl~ <br /> <br />COMPANY tJ-I/YJO/7...Y;)t(--- <br />STATE CERT OR REGIST # DO /.3 /_5 '/ <br /> <br />******************************************~****V~************.. <br /> <br />~,J) COMPANY. ~ 3 1)"1:{1 JO t9u, <br />, ~ STATE CERT OR REGIST # CAC.L)~-;') Af/O <br /> <br />PLUMBER <br /> <br />4:(T\L <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <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 />~ <br /> <br />COMPANY <br /> <br />. '''J <br /> <br />STATE CERT OR REGIST # CI3 C tJ~i..!fZ../P' Y j- <br /> <br />***~************************************************* <br /> <br />~~ <br /> <br />COMPANY ~{)'K..J....,..+ . ' <br />STATE CERT OR REGIST # CFGOllJ 99 f <br /> <br />OTHER <br /> <br />~ <br /> <br />***************************************************************** <br /> <br /> <br />t.D - COMPANY C. 0~!t{IJ;, ~*Ilr- <br />1 J..J-/:' ,I <br />, ~ STATE CERT OR REGIST # .1Ie..:. l.s .1013 <br /> <br />SIGNATURE <br />