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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 RECE lVED <br /> <br />r-; /24/0 ~ <br /> <br />, t. <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME J?O,sE'Q..r- /I..-ryrry/1j-.J4( PHONE fjIJ-)/d-60tJl <br />JOB ADDRESS ..5919' /07t S'THE"E/'. ZCPHYI:ht-IL.W, <br />/ r <br />LEGAL DESCRIPTION: LOT(S) J/ BLOCK IOQ SUBDIVISION <br />PARCEL ID # 1/2/:2/ OO)U 0060~ 00.0 (OB'l'AIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION lj(ADDITION DALTERATION D RE:PAIR D INSTALL <br /> D SIGN DMOVE D DEMOLISH <br />PROPOSED USE:~GL FAMILY DWELLING DMULTI-FAMILY D# OF UN IT S D MOBILE HOME <br /> DCOMMERCIAL D INDUSTRIAL D SWIMMING POOL D OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />AiJO)fIO,.,} -+0 ~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />') C <br /> <br />RESIDENTIAL: ATTACH (2) PI.OT 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 />PERMITS REQUESTED <br /> <br />b( BUILDING <br />'i:l. ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />J;;.;ru ;;"/N'1-- AMP SERVICE <br />I J <br /> <br />~ FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />IlCi PLUl1BING <br /> <br />~ MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D O'l.'HER <br /> <br />TYPE OF CONS'I'RUCTION:D BLOCK <br /> <br />~ FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />E'INISHED FLOOR ELEVATIONS <br /> <br />Nil <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />---~..~~-_..- - ._..-_.._--,._----~._-_._--~-----~---- <br /> <br />BUILDER <br />S I GNAfuri:-'- <br /> <br /> <br />..............'...>~'~."(.Ir.. .... . .' <br />c:~~,..~~",,8}i;~. ,c;;.:t~ <br /> <br />~~, <br /> <br />COMPANY -<i.~. joS~fX fOllS1-. -rnc. <br />, <br /> <br />~TATE CE.E..T OR REGIST # _e(jCO #-5231 <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY~\n C;; l2..Jr~c..,...1 ~c _ <br />STATE CERT OR REGIST # CJ:,13 00 13 ~3 <br /> <br />ELECTRI <br /> <br />*********************************************************** <br /> <br />,'. /1) .. COMPANY ~1~knvt~ L~'1~~'~2; <br />SIGNATURE ':~/)fNz&""v-'r)~. "-(/Lib ~t...J' ~ STATE CERT OR REG~T # ....~r-.-;~,.; ~~,'/ ~: /1 <br /> <br />· . <<.c, .~. '~H"""" H'" Hr-r......... n H': ~.. 'r- <br />MECHANICAL n ( COMPANY =u ___) ~N~u l:r!T.c...."'..s <br /> <br />SIGNATURE ~} ~~ _ STATE CERT OR REGIST #(!,fJ(.. If/~ 1.. ~ <br /> <br />PLUMBER <br /> <br />OTHER <br /> <br />. - <br /> <br />I< k *. * * * * * * * * ** * * * * * * * * * * * * * * * * }, * * * * * 'k * * * * *. ** * * 'k * * * * * J, :k ** ~* ,,) * * *}, * * * <br /> <br /> <br />COMPANY. ~<:>V."',~,.,~. .,J.,c.,..,-.L, J7rA f':'>oo.t<~.l <br />~ '" '1'~ '~.', ~---" '!"'Y~""":"'''''''''~''''''''''''''''';'''''~J'' '" ~\:i.iI., , " "_ '~~-{~"t" q~~ <br />." . '. '. i." ...... . '. . , <br /> <br /> <br />STATE CE~T ORl;\'EGIST#.'PI1U~~/~ 9 L <br /> <br />.f '" .' '" , <br /> <br />. , <br /> <br />. :. <br />,:,.,.....,d <br /> <br />'..... <br />( <br />SIGNATURE' <br />