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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 />"'- <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />PHONE 813 - 2? g2- - J-j-fv6__3j13 <br /> <br />LEGAL DESCRIPTION: LOT(S)~I <br /> <br />SUBDIVISION 6u..l-l-lI~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: a9NEW 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: ~SGL FAMILY DWELLING <br />o COMMERCIAL <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 />BUILDING SIZE <br /> <br />o <br />lSIf) S& <br />4-C> I )( t,,5/ <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />UCb)U~, rd}1 )-t:; ~:r <br /> <br />SQUARE FO TAGE C)st.J..tj <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 />o BUILDING <br /> <br />PERMITS REQUESTED <br />it/OJ ~. Q.2. VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />u, DOD. ~ <br />Jf VALUATION OF MECHANCIAL INSTALLATION <br />o SPECIALTY 0 OTHER <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK 0 FRAME <br />FINISHED FLOOR ELEVATIONS )27. 50' <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES <br /> <br />o NO <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />s <br />CAe o1t?&9j <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />******** ******************************************************** <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />~ <br /> <br />W(wrr/~l <br />j <br /> <br />COMPANY &I ty)O/l. Y:.h<--- <br />STATE CERT OR REGIST# 00/3/3 'f <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />/ <br />~( I }{ <br /> <br />'1 <br /> <br /> <br />It ~J~L'j{#;; <br />/J <br /> <br />COMPANY ~+ <br />STATE CERT OR REGIST # CF~L/d C;9? <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />******************************************:;2F*****~************ <br /> <br />, . / '\ 'I / COMPANY - L ~ 4)-1 A1 fJ-b-u. _ <br />c/)/I )c Jl)l/jj}'-rt/::J STATE CERT OR REGIST # CA('L)5t'? 4/0 <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />* * * * *:; ** * * * *. * *;~ * * * * * * * * * *-* * * ~:~:::: * (j * * ~ *~i; ~ <br />LlLiL. ,Al/c:lJ..L1~1 STATE CERT OR REGIST #.6 . () ~ <br />(j <br /> <br />OTHER <br />