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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br />DATE RECEIVED 9'-/3-oG:, <br /> <br />OWNER" S NAME <br /> <br /> <br />PHONE CONTACT FOR PERMITTINc{'i?l3)927-93// <br /> <br />r-I?3? Au.~0;tr~tl{7 <br />ell:, 1/ _PHONE(~/3),)73-IOIO <br />Il?/lRSeUA <br />2 LJ <br /> <br />t/ E: c' <br />I <br />LEGAL DESCRIPTION: LOT(S) )51/6 BLOCK ZS <br />, <br />PARCEl, ID # -VA -2~-.zI-t')(?IO-oZ50c>-oISC> <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION MOORE. 's FJR57 A DD///ClAI <br /> <br />(OBTATN FROM PROPF.RTY TAX NOTTr.F.l <br /> <br />WORK PROPSEDj DNEW CONSTRUCTION <br />i DSIGN <br />, <br /> <br />PROPOSED usJ: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE 0 DEMOLISH <br />J8MULTI-FAMILY Jt1# OF UNITS 4 <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~ BUILDING <br />~ ELECTRICAL <br /> <br />DESCRIPTION ~F WORK /'JEW loi'lSTRt./C7/ttJN 7'WLJ DvPLEXEt::;) J.:"cJuR LltV/75 <br /> <br />BUILDING SIZ~ 3?;(557' ENV.e-L.C!,PE SQUARE FOOTAGE 24005, J; EAc.t! HEIGHT /5 '--c:; " <br />,8L/xS ~ <br />RESIDENTIAL: : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL:j.ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FO~.'...'I]~.' ./ <br />IF SIGN PERfiIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. IIIM'l:;rop<-t -q(\'3 <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. .". . <br />~ -~/ <br /> <br />PERMITS REQUESTED ~<~:7" <br /> <br />VALUATION OF TOTAL CONSTRUCTION'S~'o'5 f7~b,6D. <br />m~ <br /> <br />$ ZoC3r::oo, co <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />1% PLUMBING <br />r;;r MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFtNG <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONST~UCTION:,.Rf BLOCK 0 FRAME 0 STEEL 0 OTHER <br />FINISHED FLOOFj. ELEVATIONS 8" ,t}&x/E C,POWN IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br />OF l!.oA/) <br /> <br />g~~g~i~J!:~~~i. '. <br />' ---':-:" <br />BUILDER COMPANYMARS1=:UA COAl~7~C7/0N /"yC~, .., <br />STATE CERT OR REGIST # CAC027CJ.SC> ~,; <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST <br /> <br />PlltJNBER . <br /> <br />*t***********..******.*******.**.*******.**.****.***************** <br /> <br />J <br /> <br />COMPANY <br /> <br />'MECHANICAI.. <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT <br /> <br />* *************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />