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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 DATE RECEl;VIGD ,;J - /JI'--iJ-~- <br /> <br />._ PHONE CONTACT FOR PEeTTING ?!!~=~.l?-=~~*If <br />OW",R" "/;'kP~,~. M, R NYI A- p,oA. 'HON~8-~;:: 6/1?-~~~~. ,[I , <br />JOB ADDRESS _....- r _"'I' f'~tJ-. ~p.,~ ~~ ~~ ID\ ~Q..?::..LO~, 10'+,105 <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL 10 # 3"y'<s 2./ t:tl:.>06 OO;?OOc>og '(oBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ~EW CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR 0 INSTALL <br />OSIGN 0 MOVE 0 DEMOLISH <br /> <br />PROPOSED USE:~L FAMILY DWELLING <br />~OMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ... ~A;Y/ e/cj~ t7" ;z:"Jc-7?/O/L fi, "YL-f, <br />BUILDING SIZE /ttJ ~8" ~ SQUARE FOOTAGE /oS-Y.? HEIGHT .nc4-~ ~- <br /> <br />,ti BUILDING <br />Jilf ELECTRICAL <br /> <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. <"7. j <br />PROPERTY SURVEY REQUIRED FOR ALL Nl}W./CONSTRUCTION. \) ''''::'e' (Ii f.-J~) L <br />i /;//-vG 7 t4J1 T~ I <br />( <...-. - , /-';'Al1_._....z:.EI... -'P) ( "5~i 7. '.~/1--i: <br />~ P~_~:r.~ .~.Q~STED '-..-'~.-~-"*" _ i ~ <br /> <br />$ 80' c0 ?/OD VALUATION OF TOTAL 'CONS'l'RUCT.I.ON---" '''''''5 ~,k"..s - ~ Gre.e.:~/ofP~. <br /> <br />/6,;6 AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br /> <br />Jtr PLUMBING <br />Br MECHANICAL <br /> <br />$ GJ~ t:."'t>O <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS PJ.'ROOFING 0 SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~ BLOCK 0 FRAME <br />/C~ <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br /> <br />IS PROJECT <br /> <br />COMPAN <br />STATE CERT OR REGIST #-~r~~'- D.5Y{;;;:7 <br /> <br />.~~ <br />:1h c- <br />'L,~ <br /> <br />************************************************** <br /> <br />ELECn'"'7;J ~ <br />SIGNATURE p <br />****************************************************************** <br /> <br />COMPANY/)~ V,'jJ J{C;VI1't' Y if' / Co / tt ~ <br />STATE CERT OR REGIST # fif/: OC)(!) 2..-lj 70 l..:.::.::::::: <br /> <br />PLUMBER <br /> <br /> <br />COH'ANc.D1 \Iff Y-+!~if <br /> <br />STATE CERT OR ~EGIST # - . . <br /> <br />SIGNATURE <br /> <br />* *****************************************~1'*~****************)\[ . <br /> <br />f, tf /!Aft( :::::N:", OR ~'"'~,~Z;::~ r-:;-::'Tb& <br /> <br />~ j <br /> <br />MECHANICAL <br /> <br />**************************************************************.~** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />