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<br />I I <br /> <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 />DATE RECEIVED 6-/0 -D7 <br />PHONE CONTACT FOR PERMITTING g( ~ COd I c:3-d-bO <br /> <br />/I. /) 1 <br />OWNER'S Nf,ME (j(J--(.-e/l?7..~ {(Llci,?L./ <br />, <br /> <br />JOB ADDRESS <.-.;>1 /0 '1~IvfA'1..~ ~ <br />LEGAL DESI::RIPT ION: LOT (S) :?G BLOCK <br />PARCELLD I It ().:3 . ().(. -,:), 1- 01(.;.0- (}C'COf.' - C <:f'GO <br />I <br />WORK PROP~ED: ONEW CONSTRUCTION 0 ADDITION <br /> <br />PHONE <br /> <br />SUBDI VI S ION ~~...i2/lf./;' .x!i-&/X.J a7..-- <br />J-<.J!..zU'-v dI...a...l'-~ <br />(OEl..!AIN FROM I2ROPERTY TAX NOTICE) <br /> <br />o Al,TERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os IGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSE;D USE: OSGL 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 />o RESTAURANT & HEAIJTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTI~N OF WORK <br /> <br />~A .-iU!---.u /L-t'-f..rYYl-/ <br />, / <br /> <br />BUILDING hZE SQUARE FOOTAGE C3::<' /<Jf~ HEIGHT <br /> <br />RESIDENTItJ~: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />C0M11ERCI L: 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 CONSTRUCTION. <br /> <br />o BUILDING I <br />o ELECTRIC~ <br /> <br />$.l:i!:1 <60. t50 <br /> <br />- VALUATION OF TOTAL CONSTRUCTION <br /> <br />NOC- _ <br />A.vpeoUa.O. 140A <br />C00\~ 0ump. <br />f;;)o .00 <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />I <br />I <br />o PLmmING I <br /> <br /> <br />o ME,CHANIC;{L $ <br /> <br />o GAS 0400FING 0 SPECIALTY <br /> <br /> <br />TYPE OF C9NSTRUCTlON: 0 BLOCK <br /> <br /> <br />FINIE:HED ~LOOR ELEVATIONS <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br />c_________ <br /> <br />~~l(it"...IWI!s... ."'i;" ""i:;: ," <br />~~~.'II(~ <br />~-'('t1A;. 3'" .", ':~I~', '.~ ,.~ '.k ~,_ '," <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REG 1ST # <br /> <br />ELECTRIClt <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br /> <br />OR REGIST It <br /> <br />OTHER <br /> <br />~ * * ** ** *)j;;j * ** ~ I()UfY\ ~ <br /> <br />~-----_._-- <br /> <br />S I GNATURE~ <br /> <br />(~' <br /> <br />STATE CERT OR REGIST # <br />