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<br />,CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 ~ . ~ <br />813-780-0020 FAX: 813-780-0021 10 {'1 /rJS <br />~Sd\ DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ~(/\../:;;2~<Z.1- PHONE eliS~ 7,f';) -<J,f'.;;l$ <br />(5) SI'-1D r fl'.i./~ ~ ~-L ex- <br />JOB ADDRESS 6J) ~v-'\ 'l-y- .e <br /> <br />LEGAL DESCRIPTION: LOT(S) Dl'?O BLOCK Of<-(JaD SUBDIVISION ~{~O <br /> <br />PARCEL ID # 1/-;;..10 ..c7--J-OD{O-OIt.{tn -OltfO (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ~CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING '~I-FAMILY J2f'j( OF UNITS ..2:./ <br />o COMMERCIAL <br /> <br />o MOBILE HOME <br /> <br />CJ <br /> <br />o INDUSTRIAL 0 SWIMMING POOL 0 OTHER <br />RESTAURANT & HEALTH DEPARTMENT APP~OVAL ~~)~ <br />~/~- ~~ <br />. . &-v... cL J!) / <br />SQUARE FOOTAGE J (p 7 J::; /P '<~ HEIGHT 'J <br /> <br />DESCRIPTION OF WORK n e... ~ <br />BUILDING SIZE ~X~ 41l[ , <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. ~ ~~ A ~ <br /> <br />P y~ Q..),{.. ~ ~ <br /> <br />[J'13UILDING <br />D"ELECTRI CAL <br />~LUMBING <br />~ECHANICAL <br />o GAS ~OOFING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />t <br /> <br />$ <br /> <br />~c0-0D <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~OCK <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 erNO <br /> <br /> <br />SIGNATUR <br /> <br />STATE CERT OR REGIST # <br /> <br /><L <br />~- {).55'J3<j'@ <br /> <br />BUILDER <br /> <br /> <br />SIGNATURE <br /> <br />********************************************** <br /> <br /> <br />COMPANY 'lY\a..-r- J-t -t\.... 8/ec..-k ;-~@ <br />STATE CERT OR REGIST # ;:::c - 13m 1.?~-3 <br /> <br />PLUMBER <br /> <br />COMPANili~V\..i~ W~ L(l~,,@ <br />STATE CERT OR REGIST # c...~ - Jc..?2S' fa 0 :L <br /> <br />OTHER <br /> <br /> <br />SIGNATUR <br /> <br />MECHANICAL <br /> <br />*****************~*************t})**** ~ ~ <br /> <br />..... COMPANY ~r \.( V ro rpa-rt e..~ ~ <br />STATE CERT OR REGIST # ~. 0L/!5'-f9/f @ <br /> <br />****************~********************* <br /> <br /> <br />COM PAN 41'^~~-<-.f--r"~~'- <br />STATE CERT OR REGIST # ~ 13:LSS'OS riP <br />