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<br />@ <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 RECE IVED <br /> <br />/.2- J. ;J-l)~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />//---.~ -.._~ <br /> <br />OWNER'S NAM~~~~~\L~ C~ " ~D~WE~\~..) PHONEcg\:5-m~~~~ <br /> <br />JOB AnDRESS u,I-IYL} l../~UR2'h....W~~~ .t~\0E .?---E:.~V\Yf<J-\\'--\"S <br />\ I J h.~VRB)....LV~.;:;>J> ~-.:;- <br />LEGAL DESCRIPTION: LOT (S) \ BLOCK SUBDIVISION S il..l,.}.e~ t':>~~ ~ <br /> <br />PARCEL 10 # :3 -~lo'-"~ \ -. D \ ~ ~ -\::)~ - (!)\ \ ~ (OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION o ADDITION OALTERATION o REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE:~GL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK \-J t tv ~.....:ES \ ~~, .....) C~, <br />,1l ./" <br />BUILDING SIZE 5~ - t3 X Sb <br /> <br />SQUARE FOOTAGE \ 1t\ Y \.. \ v' <br />'~a~~ D, g:, <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) <br />COMMERCIAL: 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 />HEIGHT 14 1 <br /> <br />SET ENERGY FORMS. <br /> <br />~ BUILDING <br />~LECTRICAL <br />;Rl PLUMBING <br />~ECHANICAL <br />o GAS ~OFING <br /> <br />~oc- _ <br />C1m,y _~/~ <br />~\PI(Z.4 "" ::;.r: <br />PERMITS REQUESTED 5u.~ s'sl'I .. <br /> <br />$ \ \ D) ~~~ ' ~ 'U VALUATION OF TOTAL CONSTRUCTION <br />a~'~ <br /> <br />AMP SERVICE <br /> <br />~ Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ 4ta~~ " <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION:~OCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~O <br /> <br /> <br />ELECTRICIAN Ra: h:"~ L <br />~~) -: ~ <br />SIGNATURE ~ -. --.~ ~ ....... <br />---- <br /> <br />COMPANY <br /> <br />~ <br /> <br />STATE CERT OR REGIST # <br /> <br />(;"c.. \300\ 35 '3 <br /> <br />PLUMBER <br /> <br />******************************************** ******************* ~~307 <br /><2.0 \ ~ (~--p- f( <br />c;'\ j) A . A() . COMPAN~~~D u:nbU~""~@ <br />~- """"~M A ~ STATE CERT OR REGIST # t-G;-~O <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />****~u* * <br /> <br /> <br />************* <br /> <br />MECHANICAL <br /> <br />~ t ~... l_P('0 (j,-J ~i) N <br />***************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />