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<br />j.... i', ,\ (J,I i (\(_ (' ( <br />l , ,C.' L ,C\-\_, <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />rt-- H:' (" ,'\\;\ <br />. /' ")._, f , rlu-\,C, ,;\. .., <br />DATE RECEIVED. I _ I L 4,.' . <br /> <br />PERMITTING 39! - -jCx3 .. 3'7\5 y- (Olef1) <br /> <br />omR" "Me ::lUV-g'h0 CH I <br /> <br />JOB ADDRESS' '2. I G c~ J 1 <br /> <br />() S/4 <br />R j V~! <br /> <br />PHONE <br /> <br />~?o '.- <?5) <6'l - 1.0 g I f? <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL ID j! :~ 1/ - 2:5 - 'b) - (!) f} (!) ~ (9(3C;O(c;J,,;/R/':!:2 PROPRRTY <br /> <br />TAX NOTTeR) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION o ADDITION OALTERATION o REPAIR [J INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY OJ! OF UNITS [] MOBILE HO~;E <br /> ~OMMERCIAL o INDUSTRIAL o SWIMMING POOL [] OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK L:hS-hl// f}:t1(lI'et VC1c( .Jdr fr-f;;/J k.fOSJ< ClJ.1C..( .4Pl /1}?1c!tI'Yi e.. <br />, <br />BUILDING SIZE 1'411)( {P 'eJ SQUARE FOOTAGE 2 W HEIGHT, J 2 <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 />~UILDING <br />~LECTRICAL <br /> <br />c~'~RMITS REQUESTED <br />.~ 0~O7= <br />$ J I VALUATION OF TOTAL CONSTRUCTION <br /> <br />/V.QC-V <br />l(;r~ I-\c, 1___ <br /> <br />'5 < 5 14- ~ SERVICE <br /> <br />o Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <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 />o FRAME <br /> <br />~TEEL <br /> <br />o OTHER -(Y't-f-;..b s-he.e i <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />.J <br />\ 1'6" BUILDER <br /> <br />\\0. SIGNATURE <br /> <br />~/7~ <br /> <br /> <br />(h <br /> <br />@ <br /> <br />~ ******************************************************************, <br /> <br />-l--\,): ELECTRICIAN;/ L COMPANY (;<i/.- G E /..... f:?Cj'r J~ I pc. <br />SIGNATURE /'?lJ:'{.MA E $<< STATE CERT OR REGIST j! E (.,D O()/;l? '1 <br /> <br />~~.) <br /> <br /> <br />(t!:/' <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />/Y{)/YE <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST j! <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />/YC)N~ <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST j! <br /> <br />o <br />,).\ (I <br />:1 :/1) <br />.("/ <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />