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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 <br /> <br />OWNER'S NAME <br /> <br />DA~~ RECEIVED :s- - 17 -' ~ <br />''\ <br />"PRONE CONTACT FOR PERMITTING <br /> <br />"If Ie. Ii ,4C: l.- ,#t/ U r fit.. ~ PRO';" (;; 7..~-q<l<l Z- <br />~4'-/9/ftJNr/M:; -7dA! ;Z;.elt/E- ~::--......_.......-- <br />SUBDIVISION SolOC OAt5 <br /> <br /> <br />) <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # tJ;3-O?'- -t?lI-O/dlC) -tJtJtJtJo -8~~() (OBTAIN FROM PROPERTYTAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />~ADDITION <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-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 />\ KE'l:i. ~- <br />DESCRIPTION OF WORK fJrf)'f)i TfDf'J ()~ or::hcL. t;ArH~ 'r: .$rorzA6e <br /> <br />BUILDING SIZE 301 'f.. /3..31 SQUARE FOOTAGE 3q1 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 />PERMITS REQUESTED <br /> <br />/" <br />rJOl/ <br /> <br />j <br /> <br />f:iZl BUILDING $ 55, C(75.00 VALUATION OF TOTAL CONSTRUCTION <br />1i?1 ELECTRI CAL AMP SERVICE ~ Progress Energy 0 W.R.E.C. <br />QJ PLUMBING <br /> ')- <br />~ MECHANICAL ~,OOO - <br />$ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS ~ ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: pi BLOCK 0 FRAME <br />FINISHED FLOOR ELEVATIONS hlA--r'CU ~{$f 1t...Xc <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />pi NO <br /> <br /> <br />SIGNATURE <br /> <br />fr~ COMPANY G.L.'s-relG- <br /> <br />p,/ .'., -' STATE CERT OR REGIST t ~. e.02-Z-f39 <br />***** ************************************************************ <br /> <br />_1C6r;",,,,'V' <br /> <br />BUILDER <br /> <br />ELECTRICIAN COMPANY iJ.UW!lL& ~~~ <br /> <br />SIGNATURE ~~~ STATE CERT OR REGIST # ()Qe~t~6'" <br />()C G ;ttC9\r ~l T'f.:1h /:.. ~ <br />****************************************************************** I ~ ~ <br /> <br /> <br />PLUMBER /J ffrl#/f /};(/ / COMPANY Q~S 61}jJf.- Pt.-vm6/,oG <br /> <br />SIGNATURE(~ .: 0. ~ . STATE C~RT OR..REGIST *. Q..Fc...I~Y.f1-- . <br />_ ." c..,',V .:t:t"1{.p ~ <br />MECHANICAL ~gpU"'''':::/''''UUU'''UUU~~~;~~:'~;:'''~A~'GM € Ai c.lbY <br /> <br />SIGNATURE _~ STATE CERT OR REGIST # (l.At..O~~ <br />- - Q.{lY tF( <br />***************************************************************** <br /> <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />