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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />If} /11!flJ <br /> <br />, <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME+(~''--'-&~~~- "",,::IAL- PHONE '8'S-7:?~ -OK'd!;' <br /> <br />JOB ADDRESS i-.e-I- II. :~ ~O I Fe.. C\.~ V(1V\. G W4 <br />, ~ ' ~...e..~~.e-r i 0- 7r ~~ <br />LEGAL DESCRIPTION: LOT(S) e-DL{{ BLOCK 03ftO SUBDrvISION 01 (() <br /> <br />PARCEL 10 # 14-~-;L/.......O/OD ~D'3..;1b-~l..f1 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPS ED: ~ CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE:~ FAMILY DWELLING DMULTI - FAMIL Y 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~ S { (\"1. I'e..., ~"-~ '^'l e 't::', {' {"de-He ~ <br />BUILDING SIZE ~r ~'/t' 1f7/ SQUARE FOOTAGE / It, 9.:2 PD fA,L 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 />~"'Qd\i ~ ~deJ 0rL ~//e C!h(1~\'(\.Dciel) <br />PERMITS REQUESTED <br /> <br />~LDING <br />~ECTRICAL <br />~U.--MBING <br />~HANICAL <br />o GAS ~ING <br /> <br />$ /3~ caJ 6V <br /> <br />, <br /> <br />dOC) <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~rogress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />TYPE OF CONSTRUCTION:~OCK <br /> <br />o FRAME <br /> <br />o STEEL 0 <br /> <br /> <br />, f~~)) ;L};%f'yLii--{ ~ <br />At.," i-S L.\3- <br />ZONE 'AR'EAD YES 8'"1'10 <br /> <br />$ ~CXJ~<9 0 VALUATION OF MECHANCIA <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br /> <br />::::::RE:fw~ STATE CERT OR REGIST I ctc!.. 035"/3 <f <br />ELECTRICI~AN******* ********:**~***********::::::~~~~ <br /> <br />SIGNATURE . . ' cV STATE CERT OR REGIST # E-R OOl~9 / <br /> <br />*********** *********::******************************************* <br /> <br />PLUMBER COMPANY D~ W~~ <br /> <br />SIGNATURE STATE CERT OR REGIST # ~f(D_ /'-f..;:t.5b~ <br />r <br />*********** ***** <br /> <br /> <br />~ _ COM PAN . <br />'_ ..~ STATE CERT OR REGIST <br />********* ****************************~*~~~~********* ** <br />COMPANY~~~~.c~ ~ <br />STATE CERT OR REGIST #~ /~S-~ <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />