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<br />. <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhil1s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />PHONE CONTACT FOR <br /> <br />PERMITTING '7)1 ~~ ~~, - 2f3// <br />\..)<1 t-UJ L, 0 b1-- <br />PHONE 813 - ~ g 2- - J-/t;'<2J,j j13. <br /> <br />Lu, (Jar 1f:;/K:-15, LM6 <br />JOB ADDRESS io?-B ~cc r-on-tl )~le: C uU:J 0 <br />LEGAL DESCRIPTION: LOT(S) ~ BLOCK~ SUBDIVISION <br />PARCEL 10 # 3)"- d-~- 21-0\ZO~ ocnn-.600c!) <br /> <br />OWNER'S NAME <br /> <br />6.;.J:-I-1/ LuJ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: III NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OOSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI - FAMIL Y <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 ~. II 5 U' il,J:Z<JU~~_ ~UCe( /I+- <br />BUILDING SIZE d) X 0'5, ~ SQUARE FO TAGE ~,J <br /> <br />HEIGHT <br /> <br />)es, Ot- <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 />~ BUILDING <br /> <br />~ELECTRICAL <br /> <br />~PLUMBING <br />~ 'kl, f\.^^, - <br />r- MECHANICAL $ ,~. <br /> <br />o GAS ~OOFING 0 SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />$ <br /> <br />\~~ <br /> <br />AMP <br /> <br />PERMITS REQUESTED <br /> <br />SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />o Progress Energy ~ <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />IDo. CD <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~ <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />) <br />CI:3C VI! t7&9j- <br /> <br />SIGNATURE <br /> <br />/ r. <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />. ~. "" """"" """""""" . "/" " ..""""".",,, <br /> <br /> <br />. [J COMPANY [:"lmolJ... Y;;JK- <br />--14 ~ STATE CERT OR REGIST # ()D /3l~5 '/ <br /> <br />ELECTRICIAN <br /> <br />***************************************************************.** <br /> <br />PLUMBER <br /> <br />~'/At <br />' ~ <br /> <br />COMPANY ~QtL+. . (, " <br />STATE CERT OR REGIST # CFGollJ 91 k <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />.....~.......................,......~.....~"..."'..**** <br /> <br />COMPANY - Q ~ -'.f)/lrA) J~) ~ <br /> <br />~ STATE CER'l' OR REGIST i CfJ,('J),<;/) /-f/O <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />. "/ <br /> <br />.~/ /1 ,~ COMPANY c. &taitf1lf'~o .;'t- <br /> <br />_-&!If. ~ STATE CERT OR REGIST # . 0 ~ f /~__ <br /> <br />OTHER <br />