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<br />JOB ADDRESS ~9B ( <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 /:2 /, / 3 <br />DATE RECE IVED - I~ <br /> <br />PHONE CONTACT FOR PERMITTINct?27) 50S-SoIl.. <br />J4;H:J;; <br />& J ~j5J If} '5 :Jf5 <br />I I lJ~ <br />jii /!J-/9)~J <br /> <br />PHONE <br /> <br />OWNER' s NAM~E~'1 <br /> <br />AJ . GA-u.. ~ lvo{ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEl. ID # <br /> <br />(OBT.8.Il:LEE.OM....E'ROPERJ,'Y TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />DS1GN <br /> <br />o ADDITION <br /> <br />[JALTERATION <br /> <br />o RE:PAIR <br /> <br />D INSTALL <br /> <br />DMOVE <br /> <br />o DEHOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIA,L <br /> <br />0# OF UNITS <br />o SWIMMING PODL <br /> <br />[J HOB J LE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT 1\PPROVAL <br /> <br />BUILDING SIZE <br /> <br />F'llt .s(..?pf>r~5S~l:>i::1. '5"1~T~ <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORt< \,.)"=>.,.~ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: A.TTACH (3) SETS OF BUILDING PLANS & (l) SET ENERGY <br />IF SIGN PERMI'l' ONLY (2) SETS OF' ENGINEERED PLANS REQUIRF.D. <br />t PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ ,/70 <br /> <br />& (1) SET ENERGY FORMS. <br />F'ORMS . <br /> <br />o BUILDING <br /> <br />PERMITS REQUESTED <br />$..t\. \ \ J 38C, ~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />o <br /> <br />Iqp r;i <br />(J <br /> <br />v <br /> <br />D ELECTR t CA1, <br /> <br />AMP SERVICE <br /> <br />[] FLORID1\ POWER <br /> <br />o W.R.F..C. <br /> <br />D PLUMBING <br />D MECHANIC,:AL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />~ER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES D NO <br /> <br />[ . CONTRAC~R'sICT:tON ] <br /> <br />"'_~"._,.c".,",. '_'______..._____________'_~____~~_~____._"'_.__________,___._,__ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************k********* <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURF~ <br /> <br />STATE CERT OR REGIST ff <br /> <br />********************************************************k********* <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNA1'URE <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************k********* <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGtST # <br /> <br />***************************************************************** <br /> <br />OT.ER Ckd MOYOJ-p <br />SIGNATURE ~ ~ ' <br />/ <br /> <br />COMPANY {)l<Iif6::1 ;Z:;u 80 ~7?~ <br />, STATE CERT OR REGIST # 9006.?fooO/;2oQ <br />