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<br />:E::RE7 ~~I;~i ~~~WtA;nu~1 ~.I~~)!sHONE <br /> <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8R St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 ~ / M / /J// <br />DATE RECEIVED :J; ,(.,.( i/If <br /> <br />PHONE CONTACT FOR PERMITTING ~.b if~r:d-$ <br />)-~ . <br /> <br />PARCEL In # <br /> <br />JI--;)b -J.-J -06/0 -() r;t({OO -t)~J D <br />~W CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: <br /> <br />D ADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />o INSTALL <br /> <br />D SIGN <br />PROPOSED USE:~L FAMILY DWELLING <br />D COMMERCIAL <br /> <br />o MOVE <br /> <br />D DEMOLISH <br /> <br />DMULT I - FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DES~IPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH <br /> <br />rf -.I S ( ctfo <br /> <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <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 />~UILDING <br />D ELECTRICAL <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />l ()()() ~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES D NO <br /> <br />SIGNATURE <br /> <br />c:O~CTO~i$ECTION <br />, ",rL f) COMPANy0U.Vl S1z;cf~ AIu.IIW{~'(,.""- <br />~~~~~J747t~ STATE CERT OR REGIST # <br /> <br /> <br />*************************~~*************************************** <br /> <br />BUILDER <br /> <br />ELECnICIAN <br /> <br />COMPANY <br /> <br />SIGNAtURE <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************'k********* <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNA'J!'URE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br />SIGNAiURE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER. <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />