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<br />CI~Y OF ZEPBYRBILLS PERMIT APPLICATION 51~~ <br />BUI;LDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 <br />, DATE RECE IVED \ \ - I ~ - 65 <br />, <br />! <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME \R t l'Y'Y::lu..d S \11"1\ n n ~ <br />JOB ADDRESS 3/143 (lu \.\e.;y,s T~L- <br /> <br />PHONE <br /> <br />?/j-7/~/tY 1"2- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # \D-aCo-d.-1 - 6\a...o -~ 00000 - 07~O <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />e.e 100.(:. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />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 />PERMITS REQUESTED <br /> <br />~UILDING <br /> <br />$ 22. 75 cO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />l~mlr~'''''''''''''''~~,^'''--~'''''''''~Yi'T''''~~~-'t'C'''''''''''''-j "r"l--- -~~-~~---~- ~ ~ 'T"'t-, r;" ",-""--:<11 ~""~"''''-r~-~-''''''''''''''''~''--'~r:ncr~1!3!;~!!!:Y'It!tt1tf <br />;jllTe:tl'ifti:iJ:I"!;I..)l~I":~I/ ,I '4,f.)! II'. lft t;rll'" 11~ ,I I, " 11 .1~~ 1, '/ r.-:;" I, 'JIi>bll'I?lh:i~~'l \!J.Ii:*1fj~;I'iTi~ijJY41(t~. <br />nrrT',rili:}lt"~'t1W)lr~"!'I"J(1 ;,Ij')~'"~",'l_'l,f,'t 'j' I,ll' ' I' "Ill' I~~t,.., )'!"""'~' ;: (d~j,""'f.i'';:~t.,..i~,",gh". <br />s.:~~:D.iLJliLi~1~.;.;.;J.>-2.t~~.,J,jl:........_~_~.~~.._~______________---~-_""""':""'"~~~~ ' ,~.1 "II, ) '1,^~~PI!I'~Ml~" <br /> <br />BUILDER <br />SIGNA;URE ~~.~ <br /> <br />COMPANY <br /> <br />t-\~e.OLU("\ ef <br /> <br />STATE CERT OR REGIST # <br /> <br />--- <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />