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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIlDING DBPAR!MBlft 5335 878 St, Zepbyrbil1s, PL 33542 <br />813-780-0020 FAX: 813-780-0021 \'""\ .....06C= <br />DATE RECEIVED 01. -0\ 0- -J <br /> <br />~ 5\ PHONE CONTACT FOR PERMITTING~~. ~ ~.. ~~ 9 q <br /> <br /> <br />OWN'""' N^",~~rlt: ~~ ~ t-~\>~~..:~*, '"0"' ~~. ~. ~b ~ <br />JOB ADDRESS _ ~___ ...r ~~ L &P'"'"", _. }_ F P. cLR <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # l)~. :U... ':LI.. tlb'bb" b~b'" c)bl (:) (OBTAIN PROM PROPF.RTY TAX NOTTCF.l <br /> <br />WORK PROPSED: []NEW CONSTRUCTION [] ADDI TI ON []ALTERATION )(l REPAIR [] INSTALL <br /> [] SIGN [] MOVE 1f DEMOLISH <br />PROPOSED USE: []SGL FAMILY DWELLING HMULTI-FAMILY 1l1# OF UNITS [] MOBI LE HOME <br /> []COMMERCIAL []INDUSTRIAL []SWIMMING POOL o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL Nc...w ~I c.. <br />DESCRIPTION OF WORK "R.e. V,,: r bu...",.. 0"'-"", ~~\ , lL.vv ~" _ 'Nu."EJt.J'e.: c. <br /> <br />SQUARE FOOTAGE ~ 'l (., <br /> <br />~~W<6' <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENE;RGY FORMS. <br />=OMMERCIAL: 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 />AMP SERVICE <br /> <br />[] Progress Energy [] <br /> <br />W.R.F.C. <br /> <br /><;'1>10 <;"S"S ~ <br />/-.JO c:.. -~ <br />~~c..~ <br />:r -\evY\lz.ed l\.sT cf <br />v.)vt\~ ~") <br /> <br />)Q BUILDING <br />[] ELECTRICAL <br /> <br />$J.~ d..bb <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] PLUMBING <br />biC MECHANI CAL <br /> <br />$ <br /> <br />J ~bb. 00 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS [] ROOFING [] SPECIALTY <br />TYPE OF CONSTRUCTION:~ BLOCK <br /> <br />[] OTHER <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT I N FLOOD ZONE AREA [] YES [] NO <br /> <br />CONTRACTOR SECTION I t/~ <br />BUIlDER C\ COMPAN:bR.l&.~ -. OI'V~" ..~1. Sab",;tJU <:.... ,,,\<) <br />SIGNATURE~II.-"- ~ -..-.. ......~ STATE CERT OR REGIST # CJl<"'I~~bS"'1 L I~ "" <br /> <br />******************* ********************************************* <br /> <br />ELECTRICI1I,tf 7 (// / / COMPANY ~ ~ lL: ~ E' t. ~ R..: L w.<:.. ~ <br />SIGNATURE /' ~~. STATE CERT OR REGIST # E c.. bDO :lll q lc ' <.0 7. ~ ~ <br /> <br />*****************************************************************~ <br /> <br />PLUMBER <br /> <br />)vJ~ <br /> <br />COMPANY <br /> <br />(' SIGNATURE STATE CERT OR REGI ST # <br /> <br />C/~ ~'c9- ~ **************************************~*********************' <br />\),(e' ~,[f!; MECHANI COMPANY U~ Cl~_,," ~: f'" <br />~^ ~~lP GNATURE ~_ 5 ~ , Ct ~ <br />\">>'"..0 STATE CERT OR REGIST # C 1V\ ~b S' ') 0 0 __ <br /> <br />~".;'\O V (0'.... fjiiiiHHHHHHHHHHHH:::::'~;:;;l/;~';;~;lr /(p"~'1! .t ~/c JA-C <br /> <br />SIGNATURE -~~--- STATE CERT OR REGIST # C Ij-( 1'i/"3 7 ~;J <br />