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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 />PERMITTING ~l S... q l{. 2f:?/l <br />"JO'tw L"JbL <br />PHONE 813 - ;5 g2 - J-ft1d1,j j133, <br /> <br />iLt, (Jar !hIVS. JJ'16 <br />JOB ADDRESS L~O ffi-erchm\Ji I)e tJA l' j 0 <br />LEGAL DESCRIPTION: LOT(S) ~ BLOCK~ SUBDIVISION 6u..1+l!~.tuJ <br />PARCEL 10 # 3,,~- f)-;)- 21-0 \(0- QaYb~~ 0040 (OBTAIN FROM PROPERTY TAX <br /> <br />OWNER'S NAME <br /> <br />Non CE I <br /> <br />WORK PROPSED: IE NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: rilSGL FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK Ui () S (/ \l Jo flU,~ ' r0 / .).t tc" /1-1=. <br />BUILDING SIZE (0C;~ >< L{O SQUARE FO TAGE ()S4cj J <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 />~ MECHANICAL $ 'kj \ Q;;C{), - VALUATION OF MECHANCIAL INSTALLATION <br />o GAS ~OOFING 0 SPECIALTY 0 OTHER <br />TYPE OF CONSTRUCTION: g' BLOCK 0 FRAME <br />IJo <br /> <br />PERMITS REQUESTED <br />$-13cr .qJO <br />( <br />C51~ AMP SERVICE <br /> <br />if tJ&~~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o <br /> <br />Progress Energy ~ <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 AREAO YES <br /> <br />~O <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />f <br />Cl3e tJ~t~9s- <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />***~--~-********~************************************************* <br /> <br />SIGNATURE <br /> <br />=tIrutJ1~ <br /> <br />~ COMPANY &l1l10t1J;JtC. <br />l1-ffi STATE CER~ OR REGIST # OD /;] /-) f <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />~ AO~/ <br /> <br />COMPANY ~/()u--+ <br />STATE CERT OR REGIST # CF(~il J. 9(J ~:-1 <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * :;IF * * * * ~ b * * ** * * *. *. * * "* * <br /> <br />~ JJ COMPANY. rL'\ -'I1).lf1 JO .~ <br />.' ~ STATE CERT OR REGIST # CACL):;;) /-1/0 <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />I <br />C '?-&;'.. . / ~ . <br />~ _. COMPANY . 1..'5 (al,t; ~'1 <br /> <br />U ._,~ . <br /> <br />~. STATE CERT OR REGIST # .ltul.s I () /. _ <br /> <br />OTHER <br /> <br />~ <br />