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<br />I II <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION . <br />BUILDING DEPARTMENT 53.35 8TK st, Zephyrhills, FL 33542 ~~ __ <br />813-780-0020 FAX: 813-780-0021 t,2105 <br />DATE RECE IVED <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER'S NAMEMajeS11'C Oats .~ <br />JOB ADDRESS j2S2- L.o{),V'ef! Yolfe) Lo 1 J'1 <br />LEGAL DESCRIPTION: LOT (S) I BLOCK <br />PARCEL 10 # 2tj-2<O-21-0cqO-06/00- 0090 <br />I . <br />WORK PROPSED: ONEW CONSTRUC!TION 0 ADDITION <br /> <br />PHONE <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE: 0 SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~BILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c=J ~ST~URANT & HEALTH DEYARTMENT APPROVAL <br /> <br />[l\~ V\~~J( .ki{1 Jr . <br /> <br />/ 'I x.3 to SQGARE FOOTAGE <br /> <br />DESCRIPTION OF WO~ <br /> <br />HEIGHT <br /> <br />i <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SE~S OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) S~TS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVBY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />dt y"i(j1 <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIAnTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLod:K <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 0 NO <br /> <br />_~~~~~~~~~~~~~W~--:-~~~-;TI;:~~~~V~~rrB~*~~~!1t ~ , <br />1:iB'ilI1~f~~'\~J'1Ji;t'!J;!lt!';,,~,~fC"' 111!ij ~b,?il'."f.~ '",!Jl, ~ri,'~!'il'hll,T;L '" I"," \ 'I' /, - I "]f' \" , ; ; I' ,id'ti,Jh'1m,\!b;q;;;~'M;d~,.,,-:;(,!,',rf!Jll1:"h.lf\1 '~'!,w.re 13, oj <br />~~~~~..t2.::.Lte~L~_J..~_~~_~~_--.J_~_____~_~~~~~2'2::+-iill:J~~I:~ ,d)!~~ ~r"F~ ~~ "t It, " <br /> <br />BUILDER <br /> <br />I <br /> <br />SIGNATURE WI)-_ Z$. ~ <br /> <br />**************1*************************************:************* ~ <br /> <br />EU;CTRICIAN . I COMPANY ~V(J/Id(ll ./ ~ Lf <br />/~,_~_-Z ~ ~L'c:.-' <br />SIGNATUREU~7-~ L-,--<.~ 0- ~ STATE CERT OR REGIST # ,..}l' , <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />PLUMBER COMPANy.f3LA ttc~f,e..J J <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />*************************************************** <br />MECHANICAL COMPANY BohY5 <br /> <br />SIGNATURE' STATE CERT OR REGIST # <br /> <br /> <br /> <br />************** ************************************************** <br /> <br />OTHER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br />