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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8m St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED 3'" / - Db <br />PHONE CONTACT FOR PERMITTING "7 J;l '7 - 7 ~;2 - /9'7 :3 <br />JJd- <br /> <br />PHONE <br /> <br />g 13 $I 3.1 9.3 0 i <br />rL. 33~ i/::J. <br /> <br />OWNER'S NAME n. ll"lI^ /.i~YJ1\ + iAPUr\yL <br />JOB ADDRESS 6 '13 7 'df edtc El L ~ e VI/' L lit: e <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PARCEL 10 # Q2.126121/()~tlOIDooot::YOQ6() <br />, " I <br /> <br />WORK PROPSED: _NEW CONSTRUCTION 0 ADDITION DALTERATION <br /> <br />2. e"pJ, V rA I 'l k <br />I <br />SUBDIVISION <br /> <br />(ORTAIN FROM PROPF.RTY TAX NOTTeF.) <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI - FAMIL Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />7/elu <br /> <br />f', r(" /X/~ r:4!J ~ V Sf" i-1'J f/i S 1JrJ (/lIth II <br />/ <br />SQUARE FOOTAGE ~ 5 00 HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. n <br />FORMS. ,... _ ~ C;I-- <br />~~l~ <br /> <br />c- <br /><::-;r-- '" <br />PERMITS REQUESTED J~./ Cj.) c- ~ <br /> <br />VALUATION OF TOTAL CONSTRq,CTION . /111 ~ ~~.e 15/'/ ,< <br />( ~;;:;; '~/..I <br />o Progress Ene~~ 0 W.R.E.C. <br /> <br />o BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ '1.81./ 7 II 31 <br /> <br />, <br /> <br />AMP SERVICE <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 AREAO YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY ~-rD~ SoL-vi/un 11JC.. <br />STATE CERT OR REGIST # ~ FOO(}() ~'11 <br /> <br />********************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />