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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION 63'S <br />BUI:LDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-760-0021 ill '1/01l <br />DATE RECEIVED ~ <br /> <br />PHONE CONTACT FOR PERMITTING SI3-7?~-():?~ <br /> <br />OWNER'S NAME ~L'0"'o.~<f ~~ ~~ ' PHONE ifB - 7<l'.:1.-0d'-<,S <br />JOB ADDRESS ',~~g-6.<e ~~~Cl t'J5 ~_ ","",,_ ..) <br />LEGAL DESCRIPTION: LOT(S) 01'$ 0 BLOCK~O SUBDIVISION O/7-Z:)~ <br />PARCEL ID # It.f-~ -..;:lJ -0/70 -~.. O(3D (OBTAIN FROM PROPERTYTAX NOTICEl <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-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 /> <br />BUILDING SIZE <br /> <br />40 <br /> <br />~~~/~. ~.~~~ <br />X. 1./-/ Y4' SQUARE FOOTAGE JLf-1 S- EIGHT <br /> <br />g/ <br /> <br />DESCRIPTION OF WORK <br /> <br />IlJ'13UILDING <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 I ~ S &'n fi Joe.. - ~ct....L , c..{ {g;- <br />PERMITS REQUESTED <br />$ I~,o~(~ VALUATION OF TOTAL CONSTRUCTION <br />~()O <br /> <br />AMP SERVICE <br /> <br />~Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />~LECTRICAL <br />~UMBING <br /> <br />~ECHANICAL <br />o GAS ~FING <br /> <br />$ -S. CJs'::c>-D c::> <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 />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREA 0 YES 43-1i10 <br /> <br /> <br />BUILDER COMPANY .J::1-r~ ~ <br /> <br /> <br />S IGNATUR~ ~o:.t:S!!::!! H. H' H H ~~~~~. ~~~~. ~~. ~~~~ ~~. ~..:::.~ .~35 / yj : <br /> <br />ELECTRICIAN COMPANY ~ ~ p~ !!:-e~~ W <br />SIGNATURE STATE CERT OR REGIST # CfZ (()t){~ 59! <br /> <br /> <br />*************************************************** <br /> <br />, <br /> <br />~ **************************************************** ~ <br /> <br /> <br />'THER ~. . COMPANy-f{ttn"c..",...J!:u<,<,:i+;~~ <br />ONATU --- -., . - L~ STATE CERT OR REGIST * cc!..c 13:J.55a5 <br /> <br /> <br />COMPAN~_.~ .V)~ <br />STATE CERT OR REGIST # c....~-1t.fd.5 hO~ <br /> <br />~ <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />................................*.....~~..~.****** l. ~ ~ <br />_ COMPAN~~ '~ <br /> <br />. -- STATE CERT OR REGIST # ~ [? ISS 7.~ <br /> <br />MECHANICAL <br />