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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI:LDING DEPARTMENT 5335 arH St I Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 <br />DA'rE RECE IVED <br /> <br />1I/2:z,lo.{ <br /> <br />PHONE CONTACT FOR PERMITTING ~)3- ?<r.;<.-O:?~~ <br /> <br />OWNER'S NAME -RL~o.~~~ ~~ <br />JOB ADDRESS /_~~I C<?1/'t'.QO-.-t.eA. .b r <br />LEGAL DESCRIPTION: LOT (S)t):>C{( (?-l) BLOCK og'itD <br />- - <br /> <br />PARCEL ID # /1-..)../p .').! - 'GIlD ~~I/t{) -f5'D<.f-! <br />0"0 - 00000- aa.\ 0 <br /> <br />WORK PROPSED: ~ CONSTROCTION o ADDITION <br /> <br />PHONE; <br /> <br />~/3 - 7f ..1-0<?-<s <br /> <br />L.\~~Lt <br />SUBDIVISION~ -PC7/e--f(~ <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICEI <br /> <br />DALTERATION <br /> <br />[J REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK fl~-,.., ~ /e... ~'G ~~ <br />BUILDING SIZE ~ k:4/ "'f" SQUARE FOOTAGE IL(/-..S ~ EIGHT;F/ <br /> <br />ltVSUILDING <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 />P/~s 9--hft'J-e.. - ~cAJL ,LIt ~ <br />PERMITS REQUESTED <br />$ /.::so) ()i)D, ~ VALUATION OF TOTAL CONSTRUCTION <br />, <br /> <br />~(:)O <br /> <br />AMP SERVICE <br /> <br />~Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />D"ELECTRICAL <br />ILYPLUMBING <br /> <br />~ECHANICAL <br />o GAS ~FING <br /> <br />$ ~ S ~C>o# 0:J <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~OCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />, <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~O <br /> <br /> <br />BUILDER . ) COMPANY <br /> <br />~ STATE CERT OR REGIST # M~ D3s /3'-1 <br /> <br /> <br />ELECTRICIAN ~ _ COMPANY <br />SIGNATURE PI - '~~ STATE CERT OR REGIST # CfZ r90rt/ 57/ <br /> <br />*******************************************************,k********** <br /> <br />PLUMBER <br /> <br />~r/l <br /> <br />COMPANY ~ ,-W~ <br />STATE CERT OR REGIST # c..~-ILf;).5 ~O~ <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />~***** *** ****** ***,,*~~* ** ** **** *** * ~~~;;~~~ &vt <br />, . # ~d STATE CERT ~7,L <br />- , u <br /> <br />*********** **********************************~**************** <br /> <br /> <br />COMPANy-R.t/{m~~ <"\L..& <br />STATE CERT OR REGIST # C~ J 3:J.55 as <br /> <br />MECHANICAL <br /> <br />... <br /> <br /> <br />OTHER ~ o~ ~ <br />SIGNATURE ~ · u ~ ~ <br />