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<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 RECE lVED <br /> <br />63i3 <br />/ -/~2 -- ~)c;,. <br />v91J~ ~ '7~-J <br /> <br />/..1 <br />PHONE CONTACT FOR PERMITTING (~t .. <br /> <br />OWNER'S NAME {Jetter-! tlJa /Iqre <br />JOB ADDRESS:379;7 tr 5~. ,q J/e.... <br /> <br />PHONE (-? l: 7 P':: - 3! lfe> <br /> <br />'" . --7 <br />Ze. /")..I. V ~J.!J 11'5 ;-=./ ~ 3" S- iJ' 2- <br />~ H I-H <br />. Z , <br />SUBDIVISION Crf)' Or: ;;Z:e~JtYJfH)) IS <br /> <br />173 <br /> <br />, <br />LEGAL DESCRIPTION: LOT(S) ~ f t. <br />PARCEL 10 # I/-Zl,-Z}-Ot:1Ic:> Si'17~PO -ottJ';-~ <br /> <br />BLOCK <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />~TERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESC.l\I~TION .oF WORK E:;i/ C ILJ S';:? <br />{oCe.dDc.:t( '0 POW.., <br />BUILDING SIZE jJ{/ x' )71 <br />- ... <br /> <br />5lJ-;4/ Oeck (1X!TiA~ t"V/Jft'I!'F 9-- t./J,vP#fJJv~..J WA)fs <br />-z..4-~ ' / / <br />SQUARE FOOTAGE ~~ 7, 9"-=, HEIGHT 10 <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />NOC. <br /> <br />~UILDING <br /> <br />\ ~r l~' p::t~ <br />~ PERMITS REQUESTED <br /> <br />$ j e:JttJt78Sr!Y VALUATION OF TOTAL CONSTRUCTION <br /> <br />2~.o AMP SERVICE u;y"'Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />(]}-1;LECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL <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 />@"FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATION~J fUJove GIf"',p IS PROJECT IN FLOOD ZONE AREAO YES ~O <br />12-; I <br /> <br /> <br />BUILDER 1'12., <br />SIGNATURE v~~~ -1.f2~ <br /> <br />COMPANYI../~.r ~~ <br /> <br />STATE CERT OR REGIST # <br /> <br />* * * * * * * * * * * * * * * * * * * * * ({ f!) * * * * * * * * * * * * * * * * * * * *,: *, * * * * * * * * * * * * * * * * * * * <br /> <br /> <br />ELECTRICIAN sq. COMPANY V' ~ t!}-U~, <br />SIGNATURE ",4f1piJT~ ~.., t/~~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />'3 j?.-4- M()7>N <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 />