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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 />OWNER'S NAME <br /> <br />PHONE CONTACT FOR PERMITTING 1>13~ q l~ ~ 2f39 <br />. ,i<J tw L \ 0Dl- <br />[u,/1ccr fh1l'l5~ PHONE 313 '31:2 Jj(LJd',31133 <br />l~ .( f Ctith lJ~j~(IJr. <br />q SUBDIVISION 6u.J:I-\k~ <br />~ ~ S-~ 2 l - 0 zo- <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br /> <br /> <br /> <br /> <br />ICE) <br /> <br />WORK PROPSED: ~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: r!lSGL FAMILY DWELLING <br />DCOMMERCIAL <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 />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE UO X <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />lS, () 56 Ua !)({/~ rv.)./ )4, ~C(//r- <br /> <br />'-10 SQUARE FO TAGE f}5 <-I <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 /> <br />i{).LECTRICAL <br /> <br />JrLLUMBING <br />Jt 1-} , f\..f\^, - <br />FMECHANICAL $ ,~. VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS ~OOFING 0 SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: ~ BLOCK 0 FRAME <br /> <br />JJL/.SD <br /> <br />$ <br /> <br />1?fJil80 <br /> <br />AMP <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />SERVICE 0 Progress Energy )tLJ <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 AREAD YES <br /> <br />~ <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />(be tJlfiP&9j- <br /> <br />***~_~.~w *******~**********************************************k** <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />Ji)tl~ab <br /> <br />COMPANY t~f 1l10/lY;)Y',- <br />STATE CERT OR REGIST # ()O /3/5 'f <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />~JLO~ <br /> <br />COMPANY bt{)7U!.---+ .' <br />STATE CERT OR REGIST # CF~llJ, 99 f <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />**** **** *** ** ************* ******* * ****** **::IF-***** b* * ** ** *. ** ** * <br /> <br />~ () COMPANY. ~ ~'. fJj)J:{l JCl ~ <br />. .'. fJ/~ STATE CER'l' OR REGIST # CI4CLJS---;) ~I 0 <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br /> <br />J-2. ~ COMPANY C. &m ({{i,X- ~lt-- <br />./-/" ,. <br />!/LA, STATE CERT OR REGIST # .116'1 s :I 0/3 <br /> <br />~ <br /> <br />OTHER <br />