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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 />DATE RECEIVED <br /> <br />!-hms , J16 <br />mercJlJ,J\~\Ji (Ie Cllt~ () <br />LEGAL DESCRIPTION: LOT (S) (()/ BLOCK '& SUBDIVISION 6-u.J:fvi~ <br />PARCEL 10 # 3~- 'd-f)- 21-0\(0- Q(t(t)-~ a...0/0 (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />OWNER'S NAME LLn lIar <br />JOB ADDRESS --, G O() <br /> <br />PHONE CONTACT FOR PERMITTING'7)I~...91~- 2:;~ <br />,)<J~ L\vbi-tt <br />PHONE 8'3 - Sg2- - .1-/-&6,31/33, <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: IESGL 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 />BUILDING SIZE <br /> <br />(~'; {l <br />U () S(:./ <br />too,;) X 4(L <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~ JO;)(t~~ cvJ~ 4f/u /IT <br /> <br />SQUARE FO TAGE ~~L} <br /> <br />HEIGHT ___ <br /> <br />DESCRIPTION OF WORK <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 />~LECTRICAL <br />P}PLUMBING <br />'P1ECHAN,I'/7 $ t.j \ Q:C(), ~ <br />o GAS p-ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />$ <br /> <br />PERMITS REQUESTED <br /> <br />/30) 57 0 VALUATION OF TOTAL CONSTRUCTION <br />~ AMP SERVICE <br /> <br />o <br /> <br />Progress Energy ~ <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS 1,3?J.c:D <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES @)NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />******~************************************************* <br /> <br />SIGNATURE <br /> <br />\ / (\ COMPANY Ef/n{]l1.Y;Jr'-.-; <br />~ ~1~ f.:,.,X~TATE CERT OR REGIST t O{) /3/3 1- <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />Jl COMPANY ~I{)U-+ ., <br />lL<.wlui:2, 'fLlK1{llt STATE CERT OR REGIST t CFGo'!J, 99? <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * k * * * * * *:;;;- * * * * >\' b * * ,** * * * * * * * * <br /> <br />~ ~ COMPANY. ~ ';. -'IYlw J(] ~ <br /> <br />. ( [~ STATE CERT OR REGIST # C!tC{)5?J ///0 <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br /> <br />JJ - COMPANy c. 01m!{<1,t-,,,~~t--- <br /> <br />~STATE CERT OR REGIST # .I'lc/ls /0/3 <br /> <br />~- <br />o <br /> <br />OTHER <br />