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<br />CITY OF ZEPHYRHILLS PERMIT APPLICAT~U~ <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 ~I ~ <br />DATE RECEIVED "/ /s /0 S- <br /> <br />PHONE CONTACT FOR PERMITTING tS!rt('a (f/3) <br />997-///9 <br /> <br />OWNER'S NAME <br /> <br />r. /1 lie <br />(}z jtlf <br /> <br />PHONE <br /> <br />Lawr-eAl'.R <br /> <br />3'-1// . Pyrik. <br /> <br />LEGAL DESCRI PTION: LOT (S) 02 90 <br />;) <j -rJ& - J.j-OO f ()- o(X))) - J,Jj () 0 <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION [/J)~ra II ?o/;;k <br />p#-(fl <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />BLOCK <br /> <br />PARCEL 10 # <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />/ fl.ntl;' Dn eJ.(( ;:l, <br /> <br />/ oJ.. ''1 3d-. ' <br /> <br />SQUARE FOOTAGE <br /> <br /> <br /> <br />BUILDING SIZE <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 /> PERMITS REQUESTED <br />'P BUILDING $ /5",S()().OV VALUATION OF TOTAL CONSTRUCTION <br />~ ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />0{ PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />~jCLC~ ~ <br /> <br />1 to~ .~~ <br /> <br />COMPANY <br /> <br />~ u/1 JI Ci..;~ Ak/?l ;/}tlfi. 7A.c. <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # <br /> <br />******************************~*********************************** <br />:> <br />ELECTRICIAN .. /) , .. r;f) . <br /> <br />SIGNATURE /~~-f. C6A-_k-q <br /> <br />COMPANY <br /> <br />C~ n:LHdt1./i{ [;"1 €c -fn.(..... <br /> <br />STATE CERT OR REGIST # <br /> <br />PLUMBER <br /> <br />****************************~************************~,*********** <br />:> <br />,~'). <br /> <br />COMPANY (!h t~t~ [-2;,':217"" <br /> <br />Plu~lJI'~ <br /> <br />SIGNATURE <br /> <br />,4y~ <br />/ <br /> <br />~ <br /> <br />STATE CERT OR REGIST # <br /> <br />******************************************************~,*********** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />