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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 <br /> <br />PERMIT'rING 7)1 ~~ q l~. 2,<;31 <br />,)<1 tu' L, 0 CJL 1 <br /> <br />PHONE 8'3 - 'gg2- - Jfivd7,3 j133, <br /> <br />JOB ADDRESS -,SO \ <br /> <br />Lu, /lc~r I-htY/S. Jl~ <br />N\.p~lJ (I ( I e ~j ILl' J Q <br />1 BLOCK --&- SUBDIVISION W-.l-l-l/u.uJ <br />PARCEL ID # 3~- d-.5'- 21-0\ZG- orftO-flm (0 (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />OWNr~R' S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />WORK PROPSED: 11!1 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OOSGL 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 />DESCRIPTION OF WORK UA' () S (; <br />BUILDING SIZE (cf:)x LID <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />UCZIl<'1 ~~ ' GL? / ) 0/!01'- <br /> <br />SQUARE FO TAGE cP'- f../ <br /> <br />HEIGHT ___ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY E'ORMS. <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 />~LUMBING <br />;,() 1-.\ . (\,1\/\, - <br />FMECHANICAL $ ,~ VALUATION OF MECHANCIAL INSTALLI\TION <br /> <br />o GAS ~OFING 0 SPECIALTY 0 OTHER <br /> <br />TYPI~ OF CONSTRUCTION: ~ BLOCK 0 FRAME <br /> <br />}9D,~ <br /> <br />PERMITS REQUESTED <br /> <br /> <br />$ ~ 9dD VALUATION 0>' TOTAL CONSTRUCTION f) <br /> <br />________ AMP SERVICE 0 Progress Energy [fL/ <br /> <br />W.R.E.C. <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />kpP <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />! ~ <br />Ci3C v1-/1t1&9j- <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />*****~************************************************* <br /> <br />SIGNATURE <br /> <br />c/;/ (L <br /> <br />AO~-t:rV <br /> <br />COMPANY Ef./pt10,Y;Jf,,-, <br />STATE CERT OR REGIST # (){J /3/-5 Y <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />~ <br /> <br />Q COMPANY ~{)'KL+ . (" <br />I-. 'a-'1f-t;{fy STATE CERT OR REGIST # CFc,{yj J ?rJ ~/' <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />*************************************k****~****1~************ <br /> <br />~ () COMPANY, L'\ '/J/1:(l J~ <br />. IJ!~ STATE CERT OR REGIST # Cltc~().s?) //j 0 <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />X;1fL <br /> <br />***************************************************************** <br /> <br />JJ - COMPANY C. 0-Lcf) C~<7,t: /l:Itt~'Zh- <br />l,h /A/7f7lAJA :L/-/" ,0. <br />(,;Vf/~ STATE CERT OR REGIST # '/16 I ,~ _f () /3 __ <br /> <br />OTHER <br />