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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 7)1 ~~ '1l~. 2f39 <br />\J<1 ~ L \ 0bi-- <br />PHONE 8/3 - g g2 - J-J-tv6,3 j133, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />Lut (Jet r !--/J/t/5, Ji(2; <br />JOB ADDRESS/SCJ/fY\er~ ffirt\ \J ( l \C' 01 MU <br /> <br />5 BLOCK -&- SUBDIVISION <br />PARCEL 10 # 3r;. tJ-f;. 21-0 \ZQ- orXYb-~ D::JS 0 <br /> <br />OWNER'S NAME <br /> <br />W..lfV itvJ <br /> <br />(OBTAIN FROM PROPERTY T~[CE) <br /> <br />WORK PROPSED: III NEW CONSTRUCTION DADDITION DALTERATION D REPAIR D INSTALL <br /> D SIGN D MOVE D DEMOLISH <br />PROPOSED USE: 00 SGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS D MOBILE; HOME <br /> D COMMERCIAL D INDUSTRIAL D SWIMMING POOL o OTHER <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />Ut () sCt <br />{!fJ,8 'j LtO <br /> <br />il )ri,x{/. ~ ~CL( /lr- <br />SQUARE FO~AGE ;;l3i ~ ' <br /> <br />HEIGHT ___ <br /> <br />DESCRIPTION OF WORK <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 />~LUMBING <br />1-\, Q;CO, - <br />MECHA~~L $ ,____ VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS 'r'ROOFING 0 SPECIALTY 0 OTHER <br /> <br /> <br />TYPE OF CONSTRUCTION: ~ BLOCK D FRAME <br /> <br />lQO . 00 <br /> <br />PERMITS REQUESTED <br />$ (30)S 70 <br /> <br />f <br /> <br />800 <br /> <br />#L{1"J-i <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />Progress Energy <br /> <br />~ <br /> <br />W.R.E.C. <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~ <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />f <br />Cl3e tJ~~,"9j- <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />'d:: ~..... · ,HHHHHHHHHHH H 'HH HHH'H HHHHH.**-k** <br /> <br /> <br />Q COMPANY f/f /(10/)..1:.;,(. - . <br />, ? Jl <br />, . A ~ STATE CERT OR REGIST # DO / f';) l) .~ <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />iJlu<<ffi <br /> <br />COMPANY ~t)tt+ , _., <br />STATE CERT OR REGIST # CFGol!j. 9() &" <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />******************************************~*****~************ <br /> <br />~ dJt COMPANY. ~ ~ -V>/lw SO -b<<- <br />LL ~ STATE CERT OR REGIST # ~) /1/ D <br />, <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br /> <br />COMPANY C. &m!LIl3j,~~t- <br /> <br />STATE CER'r OR REGIST # . 0 I S .I oJ 13 <br /> <br />~ j{a~ <br /> <br />OTHER <br />