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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br />PHONE CONTACT FOR PERMITTING r;?13, !r;Cf{)- /0 '33 <br /> <br />OWNElR.' S NAME Dan <br />JOB ADDRESS 5c;ag <br /> <br />kn nil) ItoN <br />7M ~C'd <br /> <br />PHONE ?/3 - 723 -//109 <br />1 cplltj rA,I/$ / Fl. ,3354~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARC~L ID # <br />WORK PROPSED: (JNEW CONSTRUCTION <br />~IGN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE} <br /> <br />(J ADDITION <br />(J MOVE <br /> <br />(JALTERATION <br />(J DEMOLISH <br /> <br />(J REPAIR <br /> <br />(] INSTALL <br /> <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />~MMERCIAL <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 />DESCRIPTION OF WORK I n S/f1 j I <br />5 ( -/ <br />BUILDING SIZE 0 )c J 4!:J <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />(~) f)O/"- Stgn Ctrd (~) .sc?15 ~(}~I /cJfey.s <br />I . <br />SQUARE FOOTAGE 1, ~!50 <br />I <br /> <br />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 SIGN 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 />" ~ILDING <br />lLYELECTRICAL <br /> <br />$ <br /> <br />J400 fJ- <br />:}D <br /> <br />PERMITS REQUESTED <br /> <br />).?{?9 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />(J FLORIDA POWER <br /> <br />(J <br /> <br />W.R.E.C. <br /> <br />(] PL~ING <br />(] MECHlNICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />(] GAS <br /> <br />(J ROOFING (J SPECIALTY <br /> <br />(J OTHER <br /> <br />TYPE OF CONSTRUCTION: (J BLOCK <br /> <br />(J FRAME <br /> <br />(] STEEL <br /> <br />(J OTHER <br /> <br />FINIsaED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA(] YES (] NO <br /> <br />SIGNATURE <br /> <br />~!\A i A iJJt <br /> <br />C()N~c:.:~;R.',.SECTION <br />COMPANY DOL!!) la \ FlttJnc i Tn v <br />STATE CERT OR REGIST # fQ DOO;<56:?, <br /> <br />BUILDElR <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~~ <br /> <br />COMPANY )) ()(10'CLq <br />STATE CERT OR REGIST # <br /> <br />rJerm0 )-;:Nu <br />, <br /> <br />ECOOO:J5Jd.. <br /> <br />ELECTIhCIAN <br /> <br />I <br />. PLUMB~ <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />I . <br />MECHAmCAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATbRE <br /> <br />STATE CERT OR REGIST # <br /> <br />,'"', <br /> <br />. --+-- . <br /> <br />-"""1 <br /> <br />. \ <br />