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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 />OWNER'S NAME <br /> <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING1)I~""~lt. 2f?/1 <br />" l<J tu' L, vb!- <br />PHONE 6/3, cgg2 - J-f&1d1,j fl33 <br /> <br />JOB ADDRESS 1~~ D <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION <br /> <br />WS+l/ iUAJ <br /> <br />PARCEL ID # <br /> <br /> <br />WORK PROPSED: ~ NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: I'iISGL 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 />D <br />DESCRIPTION OF WORK uj () S (; <br />BUILDING SIZE COJ) ,0 X YD,O <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />Q,jc7bl(L~~ w.LJfijC'Uj- <br /> <br />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 />PERMITS REQUESTED <br /> <br />~UILDING <br /> <br />~LECTRICAL <br /> <br />~LUMBING <br />I;,{) ~l. f'..^^. - <br />~MECHANICAL $ ,~. <br /> <br />o GAS f?i100FING 0 SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />$ ~dlO <br /> <br />_ AMP <br /> <br />SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />o Progress Energy ~ <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />1?J3-CO <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FbOOD ZONE AREAD YES <br /> <br />~NO <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />I vS <br />C/3C VI-I (t/&9S- <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />* * * -:- _ ......"70: * * * * * * * * *. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 'k * * <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />tSJ~ <br /> <br />-III - <br />COMPANY Z:/1/{'{]/l...Y;JY~ <br />STATE CERT OR RE'GIST # ()() /3/_5 i <br /> <br />ELECTRICIAN <br /> <br />*********************************************k*****k************** <br /> <br />SIGNATURE <br /> <br />~w~ <br /> <br />COMPANY ~()tt+ .', <br />STATE CERT OR REGIST # CF(~{yl J. 9(1 f <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />*** ** ***"HH'HH]"'H "H' """"':1F"Hi b"':" ", * *** <br /> <br />~ COMPANY . lL'\ -CP/lifJ JO .f9u <br />~ STATE CERT OR REGIS'I' # CACDS';) /-!/O <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br /> <br />$ _ COMPANY C. L9&JILo,t;- ~Zt-- <br />. J.J .- A . <br />f ~ STATE CERT OR REGIST # ./10 I S .I 0 I'-~ <br /> <br />JitJ}L <br /> <br />OTHER <br />