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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8D St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 -~~~~ __ <br />DATE RECE IVED /_ ( 0) <br /> <br />PHONE CONTACT FOR PERMITTING~r~-7~d--Ol~nc:r- <br /> <br />OWNER'S NAME /t1. Cfw. e I <br />JOB ADDRESS--.!:f 1 '3 '1 <br /> <br />YJt'\t.L " /11. <br />5tl S-/-. <br /> <br />PHONE 'if) 3- 3 <.t;;2. - OS7"'" <br /> <br />Lo+-:# 5-J.-(p <br /> <br />LEGAL DESCRIPTION: LOT (S) S + ~ BLOCK 3 S- <br />PARCEL ID # \It: - ~lo-.J.\-OOl D-D~DO-~DlaO <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />DSIGN <br /> <br />D ADDITION <br />D MOVE <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: PlSGL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS D MOBILE HOME <br />DCOMMERCIAL DINDUSTRIAL DSWIMMING POOL D OTHER -$ <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL 1:: /!Itvers e flfrl1' 11<<11 <br />DESCRIPTION OF WORK ('cjY\.s,--trlA-c...+ Nt.uJ c.. ~ 5"; ~l ~ ~ f M-wt€- <br />BUILDING SIZE bO'(. L.oO SQUARE FOOTAGE nl/ I -Sb~' HEIGHT <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 />0' BUILDING <br />~ ELECTRICAL <br /> <br />$ //3,700. 0.9- <br />. <br /> <br />VALUATION OF <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br />Citic.ll ~lA- P-1~f) <br />f)J-.hV )'7T r-4~ qkl/f)<.J4f~ <br />tI,7(\.\ ~ 1'.. T ~ c I D <br />TOTAL CONSTRUCTION <br /> <br />PERMITS REQUESTED <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br /> AMP SERVICE ~ FLORIDA POWER D <br /> / <br /> I <br /> I <br />$ VALUATION OF MECHANCIAL INSTALLAT ON <br />D SPECIALTY D OTHER <br /> <br /> <br />13 PLUMBING <br />2i MECHANICAL <br /> <br />TYPE OF CONSTRUCTION: Pi BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />SIGNATURE <br /> <br />~2~ <br /> <br />CPNWBAQIJ;'9RSECTIQ1i <br /> <br />COMPANyleJv\.~V~ ~k. ~ A-<;Soc.. . ~. <br />I' <br />STATE CERT OR REGIST # ~GC 04~4-~ <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br /> <br />****************************************************************** <br /> <br />COMPANY VV\.A..v-\-', V\. E \-e..'-- {.r: c.l~. <br />STATE CERT OR REGIST # 6C-/30013 J-.3 <br /> <br />ELEC <br /> <br />******************************************************* <br /> <br />PLUMBER <br /> <br />COMPAN~D~\I\ y\'L-S W~ \~l(;..~'3. ,L~. <br /> <br />. <br /> <br />STATE CERT OR REGIST # ~~~ \lf~S~~::J <br />, <br /> <br />SIGNATURE <br /> <br />**********************************~~~;~~***~~~;;/**~jt2:**~~fJQLvL)f <br /> <br />je,wU ~uV STATE CERT OR REGIST # 'C.JIZOSlrS" <br /> <br /> <br />***************************************************************** <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />