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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR <br /> <br />PERMITTING 7)1 ~.- Cf l ~ ~ 2f 39 <br />,-,)<1tu' L\0Di- <br />PHONE 8/3 - ~ g 2- - 4/vdl,J 11.33, <br /> <br />Lu,/1ar !-/JIY/S, L-416 <br />JOB ADDRESS "7S}7 merd!Qni-ui/(t fv~diJ <br />LEGAL DESCRIPTION: LOT (S) 3 BLOCK ~ SUBDIVISION w.s-fvlwJ <br />PARCEL 10 # 3~f)- d-.S-- 21-0 \ZO- Qa;(b-.6 OOCJ:::> (OBTAIN FROM PROPERTY TAX <br /> <br />OWNER'S NAME <br /> <br />NOTICE) <br /> <br />WORK PROPSED: III 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: l'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 />D OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />('; <br />DESCRIPTION OF WORK ) <br /> <br />BUILDING SIZE ~ X L)() <br /> <br /> <br />SQUARE <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 />~UILDING <br />~LECTRICAL <br />~PLUMBING <br />1.-L QCD, - <br />MECHANICAL $ ,____ VALUATION OF MECHANCIAL INSTALLATION <br />D GAS ~OFING D SPECIALTY 0 OTHER <br />TYPE OF CONSTRUCTION: g" BLOCK D FRAME <br />FINISHED FLOOR ELEVATIONS J[9L). [)t:) <br /> <br />$_m,c910 <br />om AMP <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />SERVICE <br /> <br />o <br /> <br />Progress Energy P W.R.E,C. <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />f3 <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />I- <br /> <br />"J <br />Cl3e VI! IP/P/fj- <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />******~************************************************* <br /> <br />SIGNATURE <br /> <br />oJ!ru <br /> <br />In''4Ctb <br /> <br />COMPANY EI/'(JtJ!1.XJt(--- <br />STATE CERT OR REGIST # DO / J jj 'f <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />~ <br /> <br />AJ/J.',~ <br /> <br />COMPANY l":fli1{)1LL+ , ' <br />STATE CERT OR REGIST # CFc,{yj J 99 ? <br /> <br />SIGNATURE <br /> <br />********************************************1r****1*f************* <br /> <br />1/ COMPANY --=t:(- Q ~t7,jJj)~~{) JCJ -/9u <br />t::J\ { t}{ /lOIl~k STATE CERT OR REGIST # CAU~s.-;) A/I D <br /> <br />* * *~* * * * * * ~ * * * * * *~. H' H H' H H'~' .::~:::: · (i .. ~~ '); ~.;., ~lb.- <br />./11 Jh .AfUJjJ 1 /J-I:~ /l ,. O. <br />PJI"-- ~~ STATE CERT OR REGIST # '110 1 ,~ .I ~/ /3 <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />SIGNATURE <br />