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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />~TE RECEIVED .3/' /0$ <br />'lf~oP~ltb;f ~ / /8/04 <br />PERMITTING <br /> <br />OWNER'S NAME---.lJI A IV ;11 Bud 7 <; K. <br />JOB ADDRESS .3 q 7 do It? c:&:- ~Q ,j <br />LEGAL DESCRIPTION: LOT (S)/? R IjPd S~ BLOCK f ~ SUBDIVISION <br />PARCEL ID # . / [- J-C - ). I - lJ 0 J D .. 0 g-:; a. a -"q~gAIN FROM PROPERTY TAX NOTICEl <br /> <br />PHONE <br /> <br />913-977-75".3 ~Ct.u <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />lit REPAIR <br /> <br />[J INSTALL <br /> <br />[JSIGN <br /> <br />[JMOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE:IDSGL FAMILY DWELLING <br />[JCOMMERCIAL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[JOTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />~ - ~ ~ _ 5~61<<3", <br /> <br />FOOTAGE I c,,? r It, HEIGHT it; I 5: bt~ s: kl <br />f/-u lJ ..v- .... ) <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 CONSTRUCTIO~ E= ~j B i:'.:'-' ;':L~l' <br />3 u ,~.~ -lEi- S'fr'WL.--r;r- ISJ(!~_.- <br />. Lllto\.)! - P*i':l""~N~ (~fc~\..!...Nlr <br />/ ~ 0 PERMITS REQUESTED =-fiLT:~T~_ ,(:)"'-- ~~~: ~ <br /> <br />$ (j, (~ 0 0:'-- VALUATION OF TOTAL CONSTR~L;N~)'> A~fV2-tf\tlC.--- <br />, L? btLM.PD B'\ <br />AMP SERVICEN ~ Progress Energy [J W.R.E.C. <br />, J ^.'- C \f ()..J~ _ ...~ 'fi..- )~~NW (Sf;- <br />JI..,-rvl Cor-t,'1 (0)I}f fll)~IW\J>NT,. '\ <br />VALUATION OF MECHANCIAL IN~TALLATION 50R..'\[)i-'f ()\li\...L <br /> <br />[J OTHErr-Jh]J)()dL\ r~~( j~>- ~P- t1-~~It\)i{) <br /> <br />III FRAME [J STEEL [J orl&:? S~ i,...(.' . f}-L~_ <br />L";; t\.~ r ~~N <br />IS PROJECT IN FLOOD ZONE AREA[J YES III NO <br />?'/d~~ ~. <br /> <br />~ <br /> <br />BUILDING SIZE <br /> <br /> <br />[J BUILDING <br /> <br />[J ELECTRICAL <br /> <br />[J PLUMBING <br /> <br />[J MECHANICAL <br /> <br />$ <br /> <br />[J GAS <br /> <br />II ROOFING <br /> <br />[J SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br />'7 / <br />FINISHED FLOOR ELEVATIONS ~ <br /> <br /> <br />SIGNATURE <br /> <br />t:J/A!J/ M J3Ddj <br /> <br />(f< <br /> <br />STATE CERT <br /> <br />1-I0M€ ()l,V~ ~ <br />'2:.-2- -.sf 'L ~ <br />OR REGIST # <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN ~ () (I <br />SIGNATURE~' &1''''- 'It,, ~ )I -. STATE CERT OR REGIST i <br />****************************************************************** <br />PLUMBER () (J.. (' COMPANY ~~~--J~5", ,yC <br />SIGNATURE /' ~ ~ - V~rL-. . STATE CERT OR REGIST # <br />********************************************~,.~~;4**************j <br />MECHANICAL . () COMPANY ~~<~ -3'- ~'\u <br />SIGNATURE (/ ~ Vi, ~. STATE CERT OR ~EGIST i ;). <br />***************************************************************** <br /> <br />COMPANY vE-,I1t9?-x.a~~ 51 175" <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />