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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 />PHONE CONTACT FOR PERMITTING 9) 1 J ~ q I ~ . 2f -?/l <br />,-,3<1 tuJ L \ 0tJL <br />PHONE 8'3 - gg2 - J-ft?d',3 j/33 <br />JOB ADDRESS ~,~Co f\\crchOJtf\} ~ \ 'e eVv:1D fJ1T- ~ dr. <br /> <br />L>:GAl. DESCRIPTION' _LOT (81-115 BWCK ~ SDBDIVISION wsfilLuJ <br />PARCEL 10 # 3~- d-.-::;.2 { -0 ,zo- orlYb-~ ~ (OBTAIN FROM PROPERTY TAiL.tlQ'LICEl <br /> <br />OWNER'S NAME <br /> <br />Lu,oar <br /> <br />!/J/i/S , UF!6 <br /> <br />WORK PROPSED: III NEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: llISGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br /> <br />BUILDING SIZE 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 />~UILDING <br /> <br />~LECTRICAL <br /> <br />~LUM8ING <br />t-l . f\..1\^, - <br />MECHANICAL $.~ <br /> <br />o GAS ~OOFING 0 SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~8LOCK <br /> <br />$ <br /> <br />W'I9-10 <br />.2ro <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE 0 Progress Energy t!1 <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 />r3Lf. (f) <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~ <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />f.- vS <br />C/3e tJ~t79s- <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />~*********-************************************************* <br /> <br />SIGNATURE <br /> <br />k <br /> <br />J)~ <br /> <br />COMPANY [~IIY7{)f}\:~~(JY'-- <br />STATE CERT OR REGIST #. ()() /3/-fr <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />-t:EJL <br /> <br />J)~ <br /> <br />COMPANY ~'Y>>-jl:)'IU..--+ , .' <br /> <br />STATE CERT OR REGIST # CFc,ollJ 9(1 ~:-' <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />******************************************~****i~*******,*,**** <br /> <br />~ COMPANY . Lq 'IJi1w S:J t9u <br />. fJ.tC Mt)~ STATE CERT OR REGIST # CAw.:;;) ~/ 0 <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />7 <br />11 - CaMPA", C. u-im !t{1.t- 1:!ltll +. <br />/,}- ,~ ,( <br />fi ~ STATE CERT OR REGIST # ./16'/ ,) :to /3 ,,' <br /> <br />~ <br /> <br />OTHER <br />