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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPAR_NT S33S 8m at, Zephyrhills, FL 33542 / / <br />813-780-0020 FAX: 813-780-0021 ~ JIj //)~ <br />DATE RECE lVED ;t/L I <br /> <br />-----. <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME j)6VNt'j A~It-C-It~GJ..L <br />~ <br />JOB ADDRESS '3 93 t.J1J Y fft/G-- , <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # '2-:2-~-zJ --<03/f)_ ()VO{}[) - () ~s:v <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />OALTERATION <br />~OLISH <br /> <br />~PAIR <br /> <br />o INSTALL <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 U -- Jt.~e//~v-- <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (I) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY <br />...~~ <br />FORMS. <br /> <br />S. <br /> <br />o BUILDING <br />o ELECTRICAL <br /> <br />~Yf)O. .f) <br /> <br />PERMITS REQUESTED <br /> <br />,-,-----...... <br />/''''-'''''-'- '\ <br />/ <br /> <br />-1t2 tj /~ <br /> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMJBING <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISBED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />c.. O. ,..~q!t'O~\$EC. T. I. .<;m <br />.". . .. -,' ,.....-.,.,' ............,-.,.-, ':.',,,..'--;-,. '-' " . .. <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELEcTRiICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATlJJRE <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER i R-/ct( t:!iTJ//J <br />. fJll- /, <br />SIGNATURE ~ ~ <br /> <br />***************************************************************** <br /> <br />COMPANY ~/ft//JJ ,eev~/J6- <br />STATE CERT OR REGIST # iZ c ~ot.z/ 6 ~" J <br />