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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI:LDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 ~ 41l5Cn <br />DATE RECEIVED I <br /> <br />PHONE CONTACT FOR PERMITTING 9J3-7<P~"",D~~ <br /> <br />OWNER'S NAME-RLI('<"'''~'~~~~ , P,HONE <br />JOB ADDRESS L<iJ;(<'=<' ~Q1 /'r'.Q.tht.eA. ~4<-a<J1 <br />LEGAL DESCRIPTION: LOT(S) lJ03D BLOCK ~ SUBDIVISION <br />PARCEL ID # )tI-~ ~ -0f70-a:cco-txi).30 <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br /> <br />:f /~ - 7 f ..1 -od'-<s <br />~~5 C=.k~~l <br />. f r l tI-e...- <br />0(70' , <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />o SIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o ADDITION <br /> <br />o DEMOLISH <br /> <br />o COMMERCIAL <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~..) ~ I-e... ~~, ~'~ <br />BUILDING SIZE <:S ~ X E: s 1+.. SQUARE FOOTAGg~ ~ 5"1 Jq;.ffl, EIGHT S? ' <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 />P)~S ~fi/-e- - TA e ~ rr(SU'r\.-~ 'c \.J)~) <br />/ f&, .r; ( <br />PERMITS REQUESTED - tJOC- _ j <br /> <br />flJ'i3UILDING $ I /0/ OOD~u VALUATION OF TOTAL CONSTRUCTION <br />. <br /> <br />~LECTRICAL <br />~UMBING <br /> <br />~ECHANICAL <br />o GAS ~FING <br /> <br />~DO <br /> <br />AMP SERVICE <br /> <br />~Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ ~7~C7t)~()2) VALUATION OF MECHANCIAL INSTALLATION <br />o SPECIALTY 0 OTHER <br /> <br /> <br />TYPE OF CONSTRUCTION: ~OCK <br /> <br />o FRAME <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 43'f\1o <br /> <br />COMPANY <br />STATE CERT OR REGIS'l' # Me!..- D3S" /3Lj <br /> <br />HW*HHH*,HW~*::::;*,p:::;"*'~ (j) <br />~ COMPANY <br />STATE CERT OR REGIST # E-R r9CJrLj 571 <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />************************************************** <br /> <br /> <br />COMPANY ~ .-u)~ @ <br /> <br />STATE CERT OR REGIST # c...~-I If ~5 ~tJ.:2.. <br /> <br />...*** "***'**'***********"'**'****'f~"~.****** i. ~ ~ <br />... COMPAN~.so~ . ~ C!P <br /> <br />STATE CERT OR REGIST # ~ :y ISS 7~ <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />~ ******************************************** ~ <br /> <br /> <br />OTHER ~ COMPANy-Rvrm~~C\L..& <br />SIGNATUR~..~~~c ~ ~ STATE CERT OR REGIST * C<l.C. 13:1.5:{0.5 <br />