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<br />1 I <br /> <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 />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING 8/3.- '/ f ~ -0 a:' ~~ <br /> <br /> <br />OWNER'S N"!'Ej.;\'"\c,ReJ .E~~~ves~HONE g'/3-7'J.;J.-<>d'01.-S <br />JOB ADDRESr. ~ 1 is q ~G-LL illtv~ "": ." <br /> <br />LEGAL DESC IPTION: LOT(S) ~..z'O BLOCK03;{CYO SUBDIVISION 0tD/'D <br />PARCEL ID 03 - ~0 .;;;;J.J- bolO A OS~c.X). ~ro (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPS D: ONEW CONSTRUCTION ~ION o ALTERAT ION 0 REPAIR 0 INSTALL <br /> <br />OSIGN <br /> <br />PROPOSED 1SE: 0 SGL FAMILY DWELLING <br /> <br />I ~MERCIl\L .L fill 0 INDUSTRIAL <br />~ 'E.>~ '" () <:Q.lGct <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTIO~ OF WORK ~ ~OO c:>~.~ aJJ.M-r ~ <br /> <br />BUILDING S~ ZE ~o I" 0 of X ~ r <:) IT SQUARE FOOTAGE ? 6D <br /> <br />RESIDENTIAJ': 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. <br />I PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />HEIGHT <br /> <br />I" I.t.- <br />I!J "-/ <br /> <br />PERMITS REQUESTED <br /> <br />Noe... <br />(1m - Se-0+ \2(9~/ol.o <br />~rf\~~ s,I..~0Zc <br /> <br />t:MrGILDING i <br />;:a---ELECTRICAJ <br />D--PLUMBING I <br />~ANICAL <br /> <br />$ Ie/, '7 Lj5. D () <br />. <br /> <br />~ <br />G <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~rogress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />.6,000. D~ <br />. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF <br /> <br />TRUCTION: ~OCK 0 FRAME <br />gg. 77 <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />v'. <br /> <br />SIGNATURE <br /> <br />I~ <br />STATE CERT OR REGIST # ~~.... /;)..5 0 9/'1 <br /> <br />BUILDER <br /> <br />ELECTRICIANlti ' ~ <br />SIGNATURE i ~ ,V <br /> <br />I <br /> <br />COMPANY YY\~ ~ . <br />STATE CERT OR REGIST # ec.. 1300/3'P3 <br /> <br />PLUMBER <br /> <br />*:********************************:::::::~~~~ ~ ~. <br /> <br />SIGNATURE <br /> <br /> <br />STATE CERT OR REGIST # C- ~ jL/--.;LcS"t,Od-. <br /> <br />SIGNATURE <br /> <br />. <br />* *******************************j********************** <br />, COMPANY 00 Y\,~ t S Se4 J. (D~~ <br /> <br />STATE CERT OR REG~ST # R \"<\.. D"D /8' 410 I <br /> <br />MECHANICAL <br /> <br />************************************** <br /> <br />OTHER <br /> <br /> <br />COM PAN v-RlfW\ &...... K~~ <br />STATE CERT OR REGIST # ~ i 3.;;1. ~bB S <br /> <br />SIGNATURE <br />