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<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 />12/10/03 <br /> <br />DATE RECE IWD <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />(813) 818-8877 <br /> <br />OWNER'S NAME <br /> <br />AIITel <br /> <br />PHONE (813) 818 - 8 877 <br /> <br />JOB ADDRESS <br /> <br />7405 Gall Blvd <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />34-25-21-0000-00300-0000 <br /> <br />(OBTAIN FROM PROpERTY TAX NOTICE) <br /> <br />Os I GN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />Kl COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOB ILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK Remodel to retail space <br /> <br />BUILDING SIZE One story <br /> <br />SQUARE FOOTAGE 1600 sf <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />30 , 0 0 0 <br /> <br />VALUATION OF <br /> <br />D~.. fn 01"--' <br />- of. ---7 t7 <br />A S.A-I: W - <br />TOTAL CONSTRUCTION <br /> <br /> <br />FORMS, <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />/~~ <br />Ow. R .~s"-"\ I <br /> <br />(/ ;)fiU <br />OF MECHANCIAL INSTALLA'r N ____.-~/ <br /> <br />ill ELECTRICAL <br /> <br />FLORIDA POWER <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br /> <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />Honors Contractors Inc. <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />CGC 013859 <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE 6~.(,_ <br /> <br />~7L~( <br /> <br />" <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />CONPA.NY <br /> <br />SIGNATURE <br /> <br />NA <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />SIGNATURE ~...e.L. <br /> <br />4~*~1 <br />'-.... <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />