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<br />, , ,,{fij5l <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 />ia./~, 105 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br /> <br />bc:c../ r . <br /> <br /> <br />PHONE .f'1 ~- 7'?..;z - 0 ~.:J:....~ <br />~ -r -t-rfl 'Q-.d-s. <br /> <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT (S) 4)D 5D BLOCK O::ZhW SUBDIVISION 00/"0 <br />PARCEL ID # CJ;z. -~ ~ - (;X)IO~~'::<';"?fD- OO;l) (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />~RATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: 0 SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />BUILDING SIZE <br /> <br />CJ.-'-fy;:<.1~ <br /> <br />OMULTI-FAMILY 0# OF UNITS 0 MOBILE HOME <br />o INDUSTRIAL 0 SWIMMING POOL W ~~.P.:.c. ) <br />& HEALTH DEPARTMENT APPROVAL - - --r <br />q, .~~/J. ~Hfl Cr b"'-t I~-"a ',"F~-r 4pt.-, J,.~c:J2y <br />SQUARE FOOTAGE 6 7~ HEIGHT <br /> <br />D RESTAURANT <br />DESCRIPTION OF WORK Re-v\DV~+t~ <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 />~oc.- <br />Cc~c-+ - <br />~ L\ C - -.;l6,dD <br /> <br />PERMITS REQUESTED <br /> <br />~ILDING <br />/' <br />~ELECTRICAL <br /> <br />~LUMBING <br /> <br />o MECHANICAL <br /> <br />$ 'l, f) l)(O. DC <br />$.;rJ:"n ^<J AMP <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />SERVICE <br /> <br />~~ogress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />~ <br />",0' t <br />0-' O' <br />/.(P , 'J <br />o .NUl"). ~\v.. <br />{I)" ",,0 <br />c\:;v ~~\'J, <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # j~ D'S S/;5 <f <br /> <br />SIGNATURE <br /> <br />@ <br />COMPANY\\\CR.-r~ v'-. ~1~.J?_ ~ ~ <br />.::- ~ / 3D()13~3 <br />STATE CERT OR REGIST #t_ <br /> <br />ELECTRICIAN <br /> <br />**********~ **************************************************** <br /> <br />PLUMBER <br /> <br />~_ tJ il' _ \ J/ =-- COMPANY p~ l\5, C\(c':"",,,-, @ <br />,~ STATE CERT OR REGIST' ~J'-f.;z6tRC;;2 <br /> <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />J ( A- <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER <br /> <br />.........1....................................................... <br /> <br /> <br />. . \\ ~. COMPANY -. <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />