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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DEPARTMENT 5335 BU st, Zephyrhi11s, FL 33542 <br />813-7BO-0020 FAX: 813-7BO-0021 . I.. I__ <br />DATE RECEIVED ~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAM~' l-n., -R, 1'Y'^~ PHONE :P/~-1~~-CJ J?~ <br />I X"V\ - . /, I ;:~ ... w~o"3 <br />JOB ADDRESfS 1.\ \ l~~ U/~ J...-..~ \t.r t.J() (o~4l <br /> <br />LEGAL DESC~IPTION: LOT(S) 06:)/0 BLOCK oOom SUBDIVISION O~10 <br /> <br />PARCEL ID ~ Oc!J.-d.-fn-..2I. -Cbl7'o -OCC>OO.... t:X;)/O (OBTAIN FROM PROPERTY TAX NOTICEl <br />! . <br /> <br />WORK PROPSED: ~W CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL <br /> OSIGN o MOVE 0 DEMOLISH <br /> I <br />PROPOSED ~SE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> ~OMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTIot OF WORK n~ pr-of-c-",;-,-""'...e. bU-ild'-:; ~P~) ~ ~ <br /> <br />BUILDING S ZE I()o)( 5 ~ SQUARE FOOTAGE 5" ~ 1. c ~ HEIGHT 10 <br /> <br />RESIDENTIAt': ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIA:. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS ~ <br />IF SIGN ERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ~ fa-.". c;;;" U1-^ r: I~ <br />! PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. r- I' .~ <br /> <br />~J)ING <br />~Ec'rRICAl)., <br />D"Pi:.UMBING I <br />~CHANICA~ $ ~ 1: OO-o~ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS ~FING 0 SPECIALTY 0 OTHER <br />TYPE OF CO STRUCTION: VSLOCK 0 FRAME <br /> <br />PERMITS REQUESTED <br />$ '-17~ i)()O cS0 VALUATION OF TOTAL CONSTRUCTION <br />. <br /> <br />~o.D . AMP SERVICE <br /> <br />~ogress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED F <br /> <br />ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~ <br /> <br />BUILDER ~ <br />SIGNATURE Jf~~,-<cj-J- STATE CERT OR REGIST * ~ /:2.5C7/'I <br />I ********* ***************************************************** <br /> <br />Et.'CTRICI~ f) JJu'c,~ - COMPANY "I'r\~ ~ ' <br />SIGNATURE -:f=Jc, ..----a I .v.oLr STATE CERT OR REGIST . ec.-!3fJD/383 <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br /> <br />COMPANY. ~ W~~ <br />STATE CERT OR REGIST # ~ Ilf~ (pO;;z.., <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />i _ <br />****************************************************************** <br />". I ~ ~ t..~ <br />. COMPANY~O t\K\1 s "<2)e..rU{~~ <br />STATE CERT OR REGIST # "VY1 Of) /f6V ~ ( <br /> <br /> <br />MECHANICAL <br /> <br />***************************************************************~* <br /> <br />OTHER <br /> <br /> <br />COMPANY~~ viv <br />STATE CERT OR REGIST # c'fl / ~;;;.S [;05 <br /> <br />~IGNATURE <br />