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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 />re -;2L/-D'!J- <br />DAT}O~ RECE IVED L <br />PHONE CONTACT FOR PERM~~rTING L/33' 8 '288 .., ) <br /> <br />'". "._--._.-...:.~....,~._"._...__.~...--~.. .-, <br /> <br />OWNER'S NAME <br /> <br />~ \C)l-\ 0"-160 U <br />l185 \ <br /> <br />(0 T~. <br /> <br />7' ~VLL.C:P ~1lS..-'\ L r PHONE 'd 1'3- 4 ~ '3 -82 eg <br />U I J"') . L-. '-- , <br />'2 c..P,i YK HILL"5 . f-c., :5SoL( ( <br />}:-) SUBDIVISION <br /> <br />JOB ADDRESS <br /> <br />S:.T~~LT <br /> <br />LEGAL DESCRIPTION: LOT (S) I",.,j) 2. BLOCK <br /> <br />PARCEL ID # ILI/2(P /21/0010/0/500/00/0 <br />( '( I I <br />WORK PROPSED: ~EW CONSTRUCTION o ADDITION <br /> <br />o SIGN 0 MOVE <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~OMMERCIAL <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 /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~4-E..LL. <br />BUILDING SIZE _ .413)( 35 <br /> <br />cOr..(S\" RL>C\ \ 0 r{ <br /> <br />Of <br /> <br />IS-OOso rr <br /> <br />offl<"'~ iS01~(7. <br /> <br />SQUARE FOOTAGE <br /> <br />I;::) OO~" (-T <br /> <br />HEIGHT <br /> <br />J(i1' <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FQRMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. (' <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTIO~. <br /> <br />ENERGY FORMS. <br /> <br />g(BUILDING <br />'JZt ELECTRICAL <br />\f! PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />50.000 <br /> <br />"A I D~.._ , . <br />~.. <br />PERMITS REQUESTED Is~' <br />,,!-I 7f D ~..--, <br />VALUATION OF TOTAL CONSTRUCTIO~~~~ ~ <br /> <br />AMP SERVICE 0 Progress Energy ~ ~ <br /> <br />#412Lc <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLAT <br /> <br /> <br />$ r1/ tJ <br />:J L ()o <br />., Vfl -/ <br />~ 5/,; 0 ~ <br /> <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~ BLOC.~ 0 FRAME <br />FINISHED FLOOR ELEVATIONS '~4,~ <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREA~ YES <br /> <br />o NO <br /> <br /> <br />BUILDER ~ <br />SIGNATURE V' - <br /> <br />j~t - <br />( -r: . <br /> <br />COMPANY l.~.// 4'i)fL.I4-N {ts C-o,...f<s.TIl.ULT/(Y/ <br /> <br />STATE CERT OR REGIST # <f!:....iSc.. 12-5/2..4'8 <br /> <br />****************************************************************** <br /> <br />~ <br />ELECTRICIAN J \ <br />SIGNATURE ,~~; . ,rt." ,,-lid, <br /> <br />- / ..-:J -r <br />COMPANY .~< -/ '~l'4Ne1J; C ~ L. . <br />STATE CERT OR REGIST # CCoOO~ ~ 2 7 <br /> <br />****************************************************************** <br /> <br />SIGNATURE ....."S.~ <br /> <br />..~ <br />a-("L4.~-J~ " <br /> <br />COMPA\rr-----107-/.f t C;?i?&.. <br />. <br /> <br />PLUMBER <br /> <br />STATE CERT OR REGIST # <br /> <br />*******************************************************~********** <br /> <br /> <br />MESICGHANNATUICRALE ./. ..c:- ~____~/ ~/./'/ COHPANY l],.<lfJ,'d .~J;;~ t.,~ <br />~~~ STATE CERT OR REGIST # ;:2Coo"lt./'7'"79 <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />