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<br />.. <br /> <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 />PHONE CONTACT FOR PERMITTINGS~/- 8'20- 834~ <br /> <br />OWN-ER'S NAME !<..'nl<,t:r m4terl'c.Js of' AOf','dct In<- PHONE .S' /- &-33-6660' <br /> <br />JOB ADDRESS 3q4-~ CDp(? /~r1d SOU /, c.v~rcl ,2 e1<JhvrA.I/s ) frlct" 33042 <br /> <br />LEGAL DESCRIPTION: LOT(S) f/IA BLOCK /V/A SUBDIVISION .A/IA <br /> <br />PARCEL ID # 24-26-2/- OD06- 00/00-0140 {OBTAIN FROM PROPERTY TAX NOTICEl <br />24- z...~ -2' - 0000 -00100 - 0130 <br />WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION o ALTERAT ION 0 REPAIR 0 INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />MCOMMERCIAL <br /> <br />DMULTI-FAMILY <br />W1 INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK fidel-I,'un of' S(p 'X g.OtWClr~hous~ <br />BUILDING SIZE u-/p 'X go I SQUARE FOOTAGE 44<fjO <br /> <br />I <br />HEIGHT 22 <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 \ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW <br /> <br />$ <br /> <br />/ /1 ()06 <br /> <br />VALUATION OF MECHANCIAL INST <br /> <br /> <br />~UILDING <br />~LECTRICAL <br />~LUMBING <br />~CHANICAL <br />o GAS ~OFING <br /> <br />Ioe <br />.~ /]1 \" <br /> <br />$ /50; 000 <br /> <br />)00/240 <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~rogress Energy <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br />77, to <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />ErNo <br /> <br /> <br />SIGNATURE <br /> <br />1 ~ 6~"^'S <br /> <br />COMPANY ,'nkelr fY)Gt-l~rlqls of plof"/Jct ...J..n <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # C6G-Ot7042- <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />.sa r~~ L- <br /> <br />COMPANY <br /> <br />ELECTRICIAN <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />(5~ r~ <br /> <br />2 <br />) <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />P"r 3> <br /> <br /> <br />***************************************************************** <br /> <br /> <br />OTHER ~ <br />SIGNATURE ~~fll <br /> <br />SIGNATURE <br /> <br />5 PI) <br /> <br />STATE CERT OR REGIST # <br /> <br />COMPANY <br /> <br />(2 ~l!.6 'I) <br /> <br />\.-l-C... <br /> <br />STATE CERT OR REGIST # ccc o~'iS'23L' <br />~ - <613- loCo3 Cfc.o 73 <br />