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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI'LDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />,1 <br /> <br />DATE RECEIVED <br /> <br />d-/~/o'- <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />f U(~ <br />OWNER'S NAME e, ~ C e 'i lit /;,;; It ~ c I?..V'L PHONE ~/ j '. .78::2 . GI/.A. <br />JOB ADDRESS b'&t/7 HarVfef ~f~e e-~ !="1{"0Y\'l LD\-:- '1 +oLe.+- 4) <br />LEGAL DESCRIPTION: LOT (S) 0 cj To BLOCK OOC)(YCJ SUBDIVISION O^ /0 <br />. . / <br />PARCEL ID # O~ .;;c; ~ ~/. {);J./O ~ O{)oOO r Oc..j TCJ (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: o NEW CONSTRUCTION o ADDITION DALTERATION D REPAIR o INSTALL <br /> DSIGN ~ 0 DEMOLISH <br />PROPOSED USE: ~ FAMILY DWELLING DMULTI-FAMILY 0* OF UNITS ~ILE HOMI <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br /> <br />WdUe #/oJ/~ /t;Y11e ,to JI~ t~ I <br />.) /"') / <br />/" /Y>U SQUARE FOOTAGE &?OO <br /> <br />HEIGHT <br /> <br /><J') <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />ENERGY FORMS. <br />.. ~ " <br />('r,., c "^\~ ' <br />'. ~ u"~ <br />.. S,' <br /> <br />PERMITS REQUESTED <br /> <br />N.O,L_ <br /> <br />o BUILDING <br />ti-ELECTRICAL <br />D PLUMBING <br />~ MECHANICAL <br /> <br />$ (oS-aD .CYD <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />/6-0 <br /> <br />AMP SERVICE <br /> <br />D Progress Energy ~ <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />0J 0/ <br />/~ .00 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING .0 SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br />(J I5n;l~ <br /> <br />o FRAME <br />1f1"} I/. If. (~J <br />/3...1 ~ <Jr.--t e <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />#db,k !/aJ4lG <br />~ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br /> <br />SIGNATURE <br /> <br /> <br />~~ <br /> <br />COMPANY ~D~ \'-fC>..-'"\'; '\0-( .....~~ ~\~ <br />STATE CERT OR REGIST # ~~()()al::lL.\ b r") ~ <br /> <br />BUILDE <br /> <br />************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE ~l /}.-, ~/h"A~r <br /> <br />COMPANY <br /> <br />I!NVIIO"M8MTAL CONftAC'l'O~!' <br /> <br />~ <br />~ <br /> <br />STATE CERT OR REGIST # [E e tJO /,2) t) ~ <br /> <br />SIGNATURE <br /> <br />****************************************************************** , } <br /> <br /> <br />COMPANY C- ~() (\'C ~-<"'S ~o~ ~~ ~\;'"~ <br />~ STATE CERT OR REGIST #-:s;.~~~~l\~? <br /> <br />PLUMBER <br /> <br /> <br />*****************************************7******************* --~ <br />COMPANY /3; ~I/ , fl-tJ II tq l~ Ai in (! {) AI I I <br />(I A/li~' ~ It ~I'f' STATE CERT OR REGIST * t! ~ I! i8' I If 'i 7 2-- <br />***********************************.********~******************** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br />