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<br />I T <br />CITY OF ZEPHYRHILLS PERMIT APPLICJ.\,TION <br /> <br />BUILDING DEPARTMENT 5335 8T11 St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DA'I'E RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING (f/3) 9;Jtf~5tJc <br /> <br />OWNER'S NAME A-Ij//~ 15c?dl1le/ Gd("~ra:: /yd~'7 .7/7c PHONE, (E/5J 9d3"-5tJ~ / <br />./ <br /> <br />JOB ADDRESr 5 5.. J f - I~ 01, <br /> <br />LEGAL DESCRIPTION: LOT (S) 9".J:J,./ I BLOCK /'-' / <br />PARCEL ID # //~6,.d:-'-lJtJl(}~I.'f/()()-O(/90 <br /> <br />SUBDIVISION ;?c-~~rA/l6- <br />, <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />D SIGN <br /> <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DADDITION <br /> <br />DALTERATION <br /> <br />CI REPAIR <br /> <br />o INSTALL <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />D, OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HO. <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK A/'Ph/ Jf f!'>cf/d~/"Jc~ <br />BUILDING SIZE :] 9 )<. 7"? SQUARE FOOTAGE I R 7' ;). <br /> <br />HEIGHT <br /> <br />,IS' <br /> <br />JkSIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SE~S OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SmTS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />#- L/1&() <br /> <br />o BUILDING <br /> <br />$ StJ, tJ () .!J.:-!2 <br />/S!J <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ,J!f'" Progress Energy [J <br /> <br />W.R.E.C. <br /> <br />$ ;) f) tJ.tJ.~ VALUATION OF MECHANCIAL INSTALlATION <br />, <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOck ~ FRAME <br />FINISHED FLOOR ELEVATIONS #'ltA.RtXJo! <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~O <br /> <br /> <br />BUILDER <br /> <br /> <br />COMPANY A/tHh ISve-HA!!-1 DHS'I-n/CAbh p~ <br /> <br /> <br />STATE CERT OR REGIST # C'.(Jc.t1bC)~ 9 y <br /> <br />***************~************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY F<~-C C(~5 E/~c:f;,~c <br />STATE CERT OR REGIST t Ec -ocJ 02 !:>---rCJ <br /> <br />ELECTRIC <br /> <br />************************************************** <br /> <br />SIGNATURE <br /> <br /> <br />~~~~************::~~~~~~:*~~-::*~:*~~~ <br /> <br />COMPANY ~ l-J.M,,.,,. +-cea/I'1S <br />STATE CERT OR REGIST f C-Pt:..J 8'1 :S" 7' <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />***************t************************************************* <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br />