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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br />_-j' r <br />PHONE cONTACT FOR PERMITTING J~ <br /> <br />~1(7 <br />7g?-SC;Cld <br /> <br />OWNER'S NAME ~ / e/vee.- ~SO/f ~"'t j M4 .~ J Ii ~ Oa/:./5fJpHONE 783 'S'I'I 6 <br /> <br />JOB ADDRESS 5 J~! L8bl-rlj~~a~ /3Jvd.'. Lot 1I/~5 <br />3rF71-\ '? CO'?) -, Lp <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />PARCEL ID # ZL!-'lu,'Z.' :')060"('y) 160 ~ (101D (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED; ONEW CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR ~STALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <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 />DESCRIPTION OF WOjUC ~vi^16de/ 5(1-40 <br />BUILDING SIZE llx3'" .SQGJA;E FOOTAGE <br /> <br />HEIGHT <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 />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 El( -f-kI,J"el d <br /> <br />SIGNATURE (jJ ~ ;.-::)....,.."= ~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />E~ECTRICIAN <br />SIGNATURE 4...J ~ /.~-..~~ <br /> <br />COMPANY C'~2y}~(/1 <br /> <br />c@ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANyBI1-f-lCt/-tfclcl Ii/ II J <br /> <br />@ <br /> <br />SIGNATURE L.J c?+- >3...s~~ <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE 0~~ B --yi;~ <br /> <br />****************************************************************** <br />COMPANY &; ~ / J <br /> <br />@;> <br /> <br />MECHANICAL <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />(". <br /> <br />STATE CERT OR REGIST # <br />