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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 eTB St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />\g-I-05 <br /> <br />~R'S --1J'1 c.QrdQ N LIce \ PHONE q\3- 8?>S'- I a8LD <br />JOB ADDRESS 3q \1LLDT~ \=i\iQ, I e~lh\ \ \~ IF \ .3..~5q 2 <br />LEGAL DESCRIPTION' LOT (S) f} 1 HLOCK I SUBDIVISION -be-phlj( hI :"~ ~~~g.bts <br />PARCEL ID" I~ -dW'-dl- {'-{):-~o-cx)\m- 0210 (ORTAIN FROM P::E;Y ;:_ 0_1__1 <br /> <br />PHONE CONTACT FOR PERMITTING 3 1 ~ 4 'i? S' \- <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[JSIGN <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br />[J DEMOLISH <br /> <br />[J REPAIR <br /> <br />GrI NS TALL <br /> <br />. [] MOVE <br /> <br />PROPOSED USE:GrsGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />OMULTI~FAMILY <br />[J INDUSTRIAL <br /> <br />0" OF UNITS <br />[JSWIMMING POOL <br /> <br />o MOBILE HOME <br />[J OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK rpy ()nr <br />BUILpING SIZE f'\\a <br /> <br />SQUARE FOOTAGE f\ \ ~ <br />. <br /> <br />HEIGHT (\ \ ct <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 />o BUILDING <br />o ELECTRICAL <br /> <br />$ IO~/Jd 00 <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />D, PLUMBING <br />.' 0' MECHANICAL' $ n \0 <br />[J GAS '.~OO~I~G": [J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[] OTHER <br /> <br />TYPE OF, CONSTRUCTION: [] BLOCK [J FRAME <br />FINISHED FLOOR ELEVATIONS f\\~_ <br /> <br />[] STEEL <br /> <br />[J OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />[J NO <br /> <br />CO~TRACTbR~fj'SEC'1,:tON <br />!.. -' '~.'.'.:. ;.0' i., j ,:;'.;';. '. .:' ....;.:..;' "-'ll_''\-. .~~ .,....' ,,':,(. ". '. ~...; . .' . '. '_' "I~A... ." <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />nlr <br /> <br />SIGNATURE <br /> <br />nja <br /> <br />STATE CERT OR REGIST " <br /> <br />nk~ <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />i\ \~l <br /> <br />SIGNATURE <br /> <br />n\a <br /> <br />STl\TE CERT OR REGIST # . <br /> <br />f\ \ci <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />(j\a <br /> <br />SIGNATURE <br /> <br />nk'l <br /> <br />STATE CERT OR REGIST # <br /> <br />n\a <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />n'(1 <br /> <br />SIGNATURE <br /> <br />nla <br /> <br />STATE CERT OR REGIST # <br /> <br />n)a. <br /> <br />OTHBR ~\' <br /> <br />SIGNATURE . _ . )~.lV1Hn(1'i:) <br /> <br />***************************************************************** <br /> <br />COMPANY v() 1 \-1 3chC\ \Je r ec:cf\ r-g \ Ie. <br />STATE CERT OR REGIST # C'C-CC.5?, \ ~L\ <br />