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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI/;LDING DEPARTMENT 5335 8u st, Zephyrhills, FlJ 33542 <br />813-780-0020 FAX: 813-780-0021 <br />DATE RECEIVED ' -:;:.. 7 n (.( <br /> <br />I PHONE CONTACT FOR PE~~ 630 315 ~ 34'Lfo <br /> <br />p{JIc,.( Fl <:... .51: 3:t,;l, ~. ~eAu3(/Y" <br />OWNER'S NAME FL.o.:t.,\OAj FI rUANc:.l A '-- 7G2,\J((('> (r) L PHONE -5 ~L' J-..2.? 8?bO <br /> <br />JOB ADDRESS /j'6) G 4- U Lll- CA-,.~. c'\ ,'" CL "C- 2. :on ' <br /> <br />LEGAL DESCRIPTION: LOT (S) 1-0'\ "57 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />o SIGN <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />El INSTALL <br /> <br />D MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE:~,SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK N ~ ~ ?l'>o6< L'L [-+';>cY'--<e... ~ DR.. \ oev-J.AJf <br /> <br />BUILDING SIZE ')..by.'tD <br /> <br />SQUARE FOOTAGE j () ~ <br /> <br />\u I' <br />HEIGHT .J:: <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 />PERMITS REQUESTED <br /> <br />l)\\.\. ~ / <br />t--Jc)C V <br />SJ.o ~;\C~ L <br />S. ~ _1/ <br />LJ..D '...) <br /> <br />(gJ BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />')<d:c'-, . (l 0 <br /> <br />VALMATION OF TOTAL CONSTRUCTION <br /> <br />r.6~ <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />D PLUMBING <br /> <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 />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES iii NO <br /> <br />, _ ~ _ ~ _~, ~ ~_..- ,.., '"'. -~---t --l>'''''''''~''''''''ff'' <br />~lj~,Hr~"ifl"""''''''-'' .-..... --, - ~~ ----,.- """"'-7- -"~ ._~~... - 1 M~"I_~ - _~'~r-~_~_ --- - ! ~ , ! I , , 1 I ! I lIlT "I;j''jj-dl~lkl;?'l~~ <br />1 : It -! I Ij I 1 j I" I I ' I l I I I ,~I I, "'!,JI I" 't rt' :!i,t <br />~~~~~~~_-'::'~~_J.. ~u~~___~_.I______~~________~ _ _ _ _ _~_ ~~_~____....!--.....o.' " . !~ <br /> <br />BUILDER <br /> <br />COMPANY eel ull1Ac Wi.. etZ @ <br /> <br />SIGNATURE <br /> <br />. s\~..~~ <br /> <br />STATE CERT OR REGIST # I.HOOb 6'2..'1 <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN" 11 ~ ~ J ~ f). 'iI/I> -! <br />SIGNATURE ~(./V'....- I. ~. <br /> <br /> <br />COMPANY ("<1. '-~,LTD(\J IZh"':<c-Tl~1 Co <br /> <br />STATE CERT OR REGIST # b ,. f)d t t t.f <br /> <br /> <br />****************************************************************** <br /> <br />PLUMBER j' <br />~ 1. <br />SIGNATURE ~~ \ .. lGL~l,~ <br /> <br />COMPANY Ok,D'\;\5. '-\)\l-L.-<.i-\.-.-, '> <br /> <br />@ <br /> <br />STATE CERT OR REGIST # <br /> <br />/Q20 <br /> <br />SIGNATURE ~~Jl <br /> <br />~ <br /> <br />STATE CERT OR REGIST # <br /> <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br />COMPANY fw,tll?Pr ('A.a'>I!.."- <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />