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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />~UILDING DEPARTMENT 5335 8TH st, Zraphyi:hi.lls, FL 33542 <br />813-780-0020 FAX: 813-780-0021 --11Iq! <br />55/1 DATE RECEIVED D0 . <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME K~oJtrL ~ <br />JOB ADD~f~~<<p-'AP R~ ~+. iN') <br /> <br />PHONE !fs - 7cP~-O~~ <br /> <br />oj .... <br />. . <br /> <br />LEGAL DESCRIPTION: LOT(S) C)~D <br /> <br />BLOCK OILfOO <br /> <br />SUBDIVISION <br /> <br />c-Q/O <br /> <br />PARCEL ID it /1-;Lt:,-~_~O-()('I'cP. ~f) <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~W CONSTRUCTIO~ <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN 0 MOVE /'\ 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING EtMUtTI~~ Oft OF UNITS <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPAR.TMEN~~VAL_ /1_ r-6t <br />DESCRIPTION OF WORK n ~ D~~ ~ <br />BUILDING SIZE 3D;<; ~cf.f P q SQUARE FOOTAGE /~ 79 HEIGHT ~ <br /> <br />ILYBUILDING <br />~ECTRICAL <br />~UMBING <br />~CHANICAL <br />o GAS ~FING <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 />. -:PJ~ QyL ~ .. /(p79~~~er <br />PERMITS REQUESTED <br /> <br />$~~.~ VALUATION OF TOTAL CONSTRUCTION <br />c;(f{;;f) . AMP SERVICE 0 Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ ~ ,()€)€).€J2J <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION~LOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />, <br />, <br />} <br />j <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~ <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i (!..,g(!... OSr/S f <br /> <br />SIGNATURE <br /> <br />COMPANymaJ-r--: ~~ <br />STATE CERT OR REGIST ft C c.. J3C6 I .scP,-S <br /> <br />****************************************************** <br /> <br />PLUMBER <br /> <br />COMPAN~~~ LJ~ <br />STATE CERT OR REGIST it c:...~ . Jt-.{.Q S" toO ~ <br /> <br />SIGNATURE <br /> <br />MECflANICAL <br /> <br />. COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT <br /> <br />Cf <br /> <br />, ,', .,,1;1 <br />*.. * * * * * * * * * * ** * * t;~..~'.f'\..i< ."1' .1l"'.'~... " *'.* ~.t..*...........~ <br /> <br />'~ ~'_/ ,,_.... t, _j i,;. ,_J.. -:~,,' i'- ~.;'"~--:, "',' , <br />. .COMP-AN.. ' <br />. . .,'," ~. -., . : <br /> <br />E CERT OR REGIST it ~ 13;<550~ <br />