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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 l-dO-oLf <br />DATE RECEIVED -- - <br /> <br />PHONE CONTACT FOR PERMI TTING ~D- 7 '1:2. - J 7d..- i <br /> <br />OWNER'S NAME J/iMf2'S. c- c..J /7 II nc~ <br />JOB ADDRESS ::J!]~ 4- pt:~ldr) r LnAb <br />, <br /> <br />PHONE 165-:.. ?c.;2--I?:J y- <br /> <br />/Z.I/ Rt:.Go R T <br />SUBDIVISIONF~ 1='"/t AiD PouJ k <br /> <br />BLOCK <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ..J;:,(/SM/( PJ~. -4 P1UJAAilU:; JIJS,nt; 'Bo/le! '-IA../& <br /> <br />BUILDING SIZE /0 X ~;)... <br /> <br />SQUARE FOOTAGE J:J D <br /> <br />/0 F T <br />HEIGHT _ <br /> <br />RESIDENTI.AL: 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. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ d- \..0 ~t) <br /> <br />o BUILDING <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />f CKYO, ."..0 VALUATION OF TOTAL CONSTRUCTION <br /> <br />tyEIJECTRICAL <br /> <br />/1Z:; <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />Oil-. W.R.E.c. <br /> <br />lU' PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />~ FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~ NO <br /> <br />L___l_____________.____ <br /> <br />~Q~~Q~~l~~I~m~~~_______.___________J <br />.j I f-l vi flttD Iv cl <br /> <br />BUILDER ..~ COMPANY ~ SF? /J f{ <br />SIGNATUR~ STATE CERT OR REGIST # <br />****************************************************************** <br /> <br />SIGNAtURE nO <br /> <br /> <br />COMPANY <br /> <br />()w/f\.W <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />rnw~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />