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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 />7-d~-O~ <br /> <br />PHONE CONTACT FOR PERMITTIN~_~J3 - ~'73 ~_B9;J.2j <br />'------ ~o1~ <br />OWNER'S NAME RO~1 ;"C:b~NA Cj-j('('~CH PHONE 783- IZb7 --- <br />JOB ADDRESS 5900 II ~ 5"r~) Z'::-PI-f'l(A!J-I;"//f", PL, 33S'l~ <br />LEGAL DESCRIPTION: LOT (S) i oS; I~" 1'7 BLOCK ;2 'l... SUBDIVISION. ~~'1 d;:' ?8""N'~~H(IIS'" <br />PARCEL ID # J {- "2.6 - "Z I - 0010 - 022.00-01S'D (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />o RESTAURANT & HEAl.TH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK N E"uJ 5. NGrlE FA-M.j l'1 Res I O~C#' <br />BUILDING SIZE 4s I X '-13 I SQUARE FOOTAGE f6S~ Sr <br /> <br />HEIGHT <br /> <br />t S' <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />~UILDING <br />~LECTRICAL <br />~UMBING <br />~ECHANICAL <br />o GAS ~OFING <br /> <br />-Ji: 1-{1<3 ( <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ ~SOO.~ <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~LOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />~ <br /> <br /> <br />SIGNATURE <br /> <br />lkud #t.#ccJ~ <br /> <br />. <br /> <br />COMPANY <br /> <br />'AN\,oNO c:::::.oNT"",eA-C.T'J <br /> <br /> <br />BUILDER <br /> <br />STATE CERT ORrREGIS# # ~CQ 'fob'" ~ <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE ~ ~1Jr' <br /> <br />COMPANY C $ ~ "Et-eC77ei c:.. / ~ ~. <br />, t/ <br />STATE CERT OR REGIST # ec J3atJ J 863 01'- <br /> <br />********************************************************k********* <br /> <br />PLUMBER <br /> <br />1~/~Q~ <br /> <br />1 6 \.. <br /> <br /> <br />SIGNATURE <br /> <br />. <br />C- --::tp,-_ <br />************************************* *** ******** <br />MECHANICAL COMPANY Dl AMOi'JO C~:M'TRACT:"'" X'NC-.. <br />J/ ~ ) V <br />SIGNATURE ~~-4~~ STATE CERT OR REGIST * CACOZ,'3SS" .~ <br /> <br />*********************************************************~ <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />