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<br />/) L ~ <br />OWNER'S NAME .' Q . ( r: <br />JOB ~DREss'~~/1 ';v1:: f) ~ ~i' ~ <br /> <br />LEGAIr DESCRIPTION: LOT (S) / Q 9 <br />PARCElL ID # <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 89 St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 "1 Il / ,/J <br />DATE RECEIVED ;!. I I" (I) y <br />(" .ft:~) / f <br />PHONE CONTACT FOR PERMITT!NG 57 g- - Z/5 73 <br /> <br />. '70;;' -- VV3b <br /> <br />(' S <br /> <br />PHONE <br /> <br />n.---. <br /> <br />Ci../~ n <br /> <br />c.D <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br />[J SIGN <br />PROEOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[J ADDITION <br />[J MOVE <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[J DEMOLISH <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESC!iIPTION OF WORK?)\A ~ b (H"J 14 ~R()O Y1"\. / LJ tL ')~ e ('" ~<'\-(''--'lj i.. <br />BUILDING SIZE SQUARE FOOTAGE HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />CO~RCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF ISIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />[J BUILiDING <br /> <br />$ <br /> <br />C~"'D. <br /> <br />r-G <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECttRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[J PLrn$ING <br />[J MEC$NICAL <br /> <br />$ <br /> <br />~5'- tJ ( (:rt> <br />[J SPECIALTY ~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />OTHER <br /> <br />TYPE bF CONSTRUCTION: [] BLOCK <br />FINISkED FLOOR ELEVATIONS <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />fi2I OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br />CON'rRACTOarSECTION <br />\ _:..', ~. ' .... . - . ;'.':','::' _. ~ _.' ..;'.. ..' ~;" . .., - ;' .:. . . ". '. '. _' d_ .. ,.' '.,' . . . '... <br /> <br />BUILD~R <br />SIGNAtURE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECT~ICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNAtURE <br />I' <br />I <br /> <br /> <br />COMPANY ~(~ ~ <br />STATE C RT OR REG;ST # :; . . ;0 <br /> <br />****************************************************************** <br /> <br />MECHANI <br /> <br />COMPANY <br /> <br />SIGNAtURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER I <br />I <br />i <br />SIGNAtURE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br />