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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />DATE RECE lVED c::<.- 2S -of <br /> <br />PERMITTING C; 7 ~ - C; 99'[/ <br /> <br />~ <br />~ <br /> <br />OWNER'S NAME /1Jlfdh~'1 c:L iJe&c)k!.. <br />fvC07 7'fpA~,1~ R~ IJA (2'</Jh'1~ k~D- fYJJr//;::) <br />LEGAl) DESCRIPTION, LO;IS) /::;: J B~OCK . SUBDIVISION -::"-fV'~~ 't~; :~: <br />PARCElL ID # I/.:! - 02& oJl-D /3:; tJ,tJIJOO-OO/2) (OBTAIN FROM P:~::R~~ I F.l <br /> <br />PHONE <br /> <br />JOB J\DDRESS <br /> <br />WORKPROPSED: (JNEW CONSTRUCTION <br />(J SIGN <br />PRopbsED USE: (JSGL FAMILY DWELLING <br />(J COMMERCIAL <br /> <br />!I-1rnD I TI ON (JALTERATION (J REPAIR (J INSTALL <br />o MOVE 0 DEMOLISH <br />(]MULTI-FAMILY (]# OF UNITS (] MOBILE HOME <br />(J INDUSTRIAL (J SWIMMING POOL o OTHER <br /> <br />BUILDING SIZE <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Vi /1 . ~ <br />() (; Jf +0\ IVi(a ~)f + . <br /> <br />SQUARE FOOT~GE ~ <br /> <br />DESCRlPTION OF WORK <br /> <br />HEIGHT <br /> <br />RESID~NTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMJ1;RCIAL: 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 />~NG <br /> <br />(] ELECTRICAL <br /> <br />PERMITS REQUESTED II" <br />$--1 ~ ~l' Ii_,.";' VALUATION OF TOTAL CONSTRUCTION\.. <br />AMP SERVICE (J FLORIDA POWER (] W . R. E. C. <br /> <br /> <br />/ <br /> <br />(J PUJMBIING <br />(] MECHANICAL <br /> <br />$ <br /> <br />(J GAS <br /> <br />(] ROOFING <br /> <br />(] SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: (J BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />(J STEEL <br /> <br />(J OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREA(] YES (] NO <br /> <br />C()~g!t'OR.SECTION <br /> <br />BUILDE~ <br />SIGNATURE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRllCIAN <br />SIGNATURE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER. <br />I <br />SIGNATURE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANIF <br />SIGNATUk <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHEi! yt 'lJ.:i;L lovd (! Ie e(e <br />SIGNATU~.. /~L/1. <br /> <br />***************************************************************** <br /> <br /> <br />COMPANL1\0DS D'/I t\ L:cf~~/t.;::d~ .J. J}C <br /> <br />STATE CERT OR REGIST # ':;,,3.::t 1"7 7 f.Yf.::c~> <br />- i <br />':L' 1-.', l L-c..:,. .;.. _.2 .~.'", j ~Ij, <br />