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<br />OWNER'S NAME Die (<- 0-0 h Y1 ~ 0 1'1 <br />JOB ADDRESS & lDGl Peacil St'. <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 . <br />813-780-0020 FAX: 813-780-0021 '/~ () <br />DATE RECE IVED I p <br /> <br />, <br /> <br />PHONE CONTACT FOR PERMITTING P4.SCo Pes""" f- <br />Se-f'V(c~ <br />j -'f) tRi., -- 8'2 V - 7 ?-9 t../ <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION Oo..kst'de m.I+"Pct.rk <br /> <br />PARCEL ID # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />OS IGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />(OBTAIN FROM PROPF.RTY TAX NOTTeF.) <br /> <br />o ADDITION )gLALTERATION [JREPAIR [J INSTALL <br />[J MOVE 0 DEMOLISH <br />[JMULTI-FAMILY [J# OF UNITS o MOBILE HOME <br />[J INDUSTRIAL [J SWIMMING POOL [J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH <br />Roor -- D\lC!..r <br />l~)("'~ <br /> <br />DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />qq~ t <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: 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 />yJ( BUILDING <br />[J ELECTRICAL <br /> <br />$ <br /> <br />~~~O. fJO <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />o PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[J OTHER <br /> <br />TYPE Of CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br />BUILDER <br />SIGNATllRE~~~~ STATE CERT OR REGIST # O/.;l6'l.3 <br />*********************************************************~******** <br /> <br />c;9~qT();R..SECTION <br />COMPANY StLi-? ,--Sf-de <br /> <br />R/UY>1'~l/(~ <br /> <br />ELECTRICIAN <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 />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 />