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<br />CIrY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUIiLDING DEPARTMENT 5335 8TH St, Zephyrhills, F]~ 33542 <br />I 813-780-0020 FAX: 813-780-0021 <br />DATE RECEIVED 3~' <<t..-'O{o <br /> <br />I PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME I~ i I J I ~ Fa +v [J&L<-/. . os. <br />JOB ADDRESs5~~3 .~~ ~c.L, <br />LEGAL DESCRIPTION: LOT(S)gOGL/ BLOCK ~D <br />PARCEL ID # /D-;;;Lb~-OO:J..O~ ~-ocx:L./ <br /> <br />t\6C <br />p,zz.a- <br /> <br />PHONE ~(3-7~o(~0?~ <br /> <br />SUBDIVISION <Q~ 0 <br /> <br />/OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br />DSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />B(;MMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />(J REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM <br />o OTHER <br /> <br />. ~RESTAURANT & HEALTH DEPARTMENT APpROVAL ~ \ <br />DESCRIPTION OF WORK () e.......:l ~e-r,'; ~-(... ~t ,@-e>~ ""'-/2.L. <L ) <br />BUILDING SIZE tfD / g? X.~71 ,/11 SQUARE FOOTAGE3j/~. Thizz-e.. HEIGHT ml <br />. ( <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 />f=fn ~ - $-11 '-11010 <br /> <br />NOt:::.- J <br /> <br />PERMITS REQUESTED <br />r:P <br />$~~ <br />~CTRICAL ~ AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />yYPLUMBING 61) Qn n-I- - \=~ <od./ <br />~CHANICAL $ /qC~ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS IiJ"(OOFING 0 SPECIALTY 0 OTHER <br />TYPE OF CONSTRUCTION: ~LOCK 0 FRAME <br /> <br />~UILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~~ <br /> <br /> <br />SIGNATURE <br /> <br />~~ ~<f~ <br /><A~~ STATE CERT OR REGIST C.:!{!j.:J.50 /'f <br /> <br /> <br />. . **********~******~********************************************* <br /> <br />@ <br /> <br />BUILDER <br /> <br />X'~ ~ '()l1. <br />10 (b C'OTHER <br />P\~~J\'$IGNA~RE . <br />~o ~ <br /> <br /> <br />ESLEIGNCATRTUIRCE'=-! ~/ - ~ j. COMPANY "C'\'\~ ~ <br />~ STATE CERT OR REGIST ;;~ ISrot.S73 <br /> <br />**************************************************************~*** <br /> <br />- COMPANy~G~~rP <br /> <br />STATE CERT OR REGIST It (G~~ It..fb?S0{)d--.- <br /> <br />****************** ******,.*~**** ***'**. . ~ <br />COMPAN ~ <br /> <br />PLUMBER <br /> <br />STATE CERT <br /> <br /> <br />;:' "- ~:; <br /> <br />STATE <br /> <br />REGIST <br /> <br />, ,.; <br /> <br />" <br /> <br />.,,'t" <br /> <br />~ . ..~""'....~ .,,....~~;.;'.:._-"...."" -~ <br /> <br />"tif' .', ')+..11 . ".\1 ,. <br />..............-..". -",~.Jp, <br />