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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 l!'AX: 813-780-0021 :3 - 1-(j~ <br />DATE RECEIVED <br /> <br />PHONE c:ONTACT FOR PERMITTING'--re; J . <br /> <br />OWNER'S NAME Ctlr1d HayiZ-CJr) <br />JOB ADDRESS -3 75:)'1 . Corey. Lou)) /lv-e..- Lof 2(3 <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL 10 # 31- 25- 21-eJ/70- 00000-- 2./30 <br /> <br />PHONE . gIg. 7J~ -S-qt.j CJ <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />0INSTALL <br /> <br />Os IGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~OBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WO~ /.no~/Je <br />BUILDING SIZE 27 X. &>0 <br /> <br />home f~fa/ la/fon arid Sr I-up <br />- f <br />I (p 2() <br /> <br />SQGJARE FOOTAGE <br /> <br />HEIGHT <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 />t-j6C / <br /> <br /> PERMITS REQUESTED <br />l!f' BOILDING $ 35.000. cO VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />0 PLUMBING <br />0 MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />0 GAS o ROOFING o SPECIALTY 0 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 PROJF,:CT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANy8u +-rCy'teJd <br /> <br />SIGNATURE~~~ STATE CERT OR REGIST I <br /> <br /> <br />HH H.,. H..H.... H H HH' H H" H HH'H 'H,^H H' H H H H H H <br /> <br />E:(,ECTRICIAN COMPANY Ac f <br />SIGNATURE~'~~ STATE CERT OR REGIST I <br />****************************************************************** <br /> <br />(!) <br /> <br />COMPANY 8L1 ffef~e.jd ftI} f{ ..s <br /> <br />@ <br /> <br />PLUMBER <br /> <br />SIGNATUREt:=-~~ , STATE CERT OR REGIST I <br /> <br />****************************************************************** <br />MECHANICAL COMPANY .Ac. f~ <br /> <br />SIGNATURE~ ~~'~ STATE CERT OR REGIST I <br /> <br />***************************************************************** <br /> <br />~ <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />