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<br />II' <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills I FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />2u <br />PHONE CONTACT FOR PERMITTING S~ 1- 828- ffJ4-ti, <br /> <br />OWNER'S NAME R;n I<e",.. r'Yla-lcrl'Ctls of' FlorlJ.Q. <br />JOB ADDRESS Vld Bout ,c-V4rd <br /> <br />PHONE <br /> <br />Stal- &--\33 - oS;JIJ <br />330-12 <br />/II / /l <br />. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br /> <br />Ze <br /> <br /> <br />'/J <br /> <br />PARCEL 10 # 24-2(P-2J -000 -OO/OD- 6/4D <br />24 -2(, -2/- 000- 00100 - 0 J30 <br />WORK PROPSED: ONEW CONSTRUCtION 0 ADDITION <br /> <br />BLOCK <br /> <br />(lI /17 <br />. <br /> <br />SUBDIVISION <br /> <br /> <br /> <br />o ALTERAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY D*ELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />~DUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J ~ESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK Adcl'~/OY1ctl Flv,4s~ 5;'/0 For f(cqdy (1~tX P/Clnf <br />~//1! SQUARE FOOTAGE ftI/19 HEIGHT <br /> <br />BUILDING SIZE <br /> <br />70" <br /> <br />RESIDENTIAL: ATTACH (2) PLO~ PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SET OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SE. S OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVE~ REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ 4o,ooq <br /> <br />VALUATION OF TO~AL 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 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <br /> <br />TYPE <br /> <br />OF CONSTRUCTION: 0 BLOC~ 0 <br /> <br />IfJ/1i <br />I <br />, <br /> <br />FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />~ <br /> <br /> <br />BUILDER <br /> <br />~OMPANyR II') kc:r maf~I'",i J' of t=lortdot..Ll1e.. <br /> <br />SIGNATURE STATE CERT OR REGIST # C 6-e. - 0/7 (D 4- 2.... <br />UOfla,l .A ~ I e~'-..51 P. ~. 6-C- <br />*************** *****~******************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br />