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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills / FL 33542 <br />813-780-0020 F'AX:813-780-0021 <br /> <br />DA'l'E RECE IVED _____.,_. <br /> <br />PHONE CONTACT FOR PERMI'l'TING <br /> <br />OWNER' S Nl\ME ~d <br />JOB ADDRESS J.o.ILti <br /> <br />~e che r <br />t 4'~ ~ <br /> <br />PHmm 7.gg ~ Il?1-__,___ <br /> <br />-_._------_._-~ ~_._---.. <br /> <br />LEGAL DESCRIPTION: I.OT(S) <br /> <br />BUJCK <br /> <br />SUBDIVISION <br /> <br />Pl\RCEL IIJ II O;}--~ d.lo_~l_.._Qtllt.:_O'D() 00,. 0 ..3~ Q----J-Olll'A1N_..ERU1LEROY..ER:tL:1'A2CN0T,U..:F;J____ <br /> <br />WORK PROPSED: [J NF~W CONSTRUCT ION <br />OSIGN <br /> <br />o l\fJlH'J'lON <br /> <br />[] l\ [,TF.Pl\T 1 ON <br /> <br />o REPl\lR <br /> <br />[1 INS'J'l\I,T, <br /> <br />o HOVE; <br /> <br />[J DP.t10J. J S II <br /> <br />PROPOSED USE:: OSG1, F1\MIIJY DWEl.LING <br /> <br />o C0t1J1ERC lAL <br /> <br />C.1MUl.T I., [0'1\11.11 I Y <br />o INDUSTIUAJ, <br /> <br />[I It OF UIIl T8 <br />o SWIMtllNG rum, <br /> <br />lJ MOB I. I oF: 1I(1~H'~ <br />[] U'l'm:R <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURAtlT & JlEl\T.TIJ DEPl\P.'TE:rJT M'PR()Vl\I, <br /> <br />1'5 dot:> a S~---.M.::~____u__~_______ .__ . <br /> <br />sQUl\nE: FU()')'7\GE HF~lGIIT __.'.__________... <br /> <br />BUILDING S tzE <br /> <br />RESIIJEN'l'll\L: l\T'J'l\CH (~) PLOT PL,l\NS r., (?) SETS OF' BUILDING PLl\NS r.. (1) SET ENEP.l~Y FOfU1S. <br />COMMERCIl\L: J\TTACH (3) SETS OF BUlLDING PLl\NS & (1) SET ENERGY FORMS. <br />IF.' SIGN PERMIT ONLY (2) SETS OF.' ENGINE:ERED PL,l\NS REQUIRE:n. <br />PROPERTY SURVEY REQUIRED E'OR l\LL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ ,3, D'-l La. /' <br /> <br />PERMITS REQUESTED <br /> <br />Vl\LUl\TlUH OF TOTl\L Cr>NSTRUCTION <br /> <br />o ELECTIUCM, <br /> <br />l\MP SERVICE <br /> <br />o nORIDl\ POWEll. <br /> <br />[) W . R . [0; . Co <br /> <br />o PLUMBING <br />o ME;CHJ\NICAL <br /> <br />$ <br /> <br />VALUATION OF MF.~CHANCIJ\L INSTJ\Ll,l\TION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />I.J SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF' CONSTRUCTION: 0 BLOCK <br /> <br />o F'Rl\ME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FIN lSIlED FLOOR ELEVl\T!ONS <br /> <br />IS PRChJECT IN nOOD ZONE AREAO YF;S <br /> <br />o NO <br /> <br />I..i)', ,', ..... · CON'I'RAC~O;R;;S:mQWJ:O~ '. .' . . <br />.._-~~.---.- ------- -- .--..-.--.-.-.-___.c_.___ ..___~_._____.___ ______._____ ________. <br /> <br />BUILDER ~ COMPl\NY Iiu.J Sc..hQf-L"-~O~(:) ,):A.C ' <br />S[GMTU", cr"'O/>cJ~- S'fATE CER'1' OR REGlST II IT-r:Oc:;'?,f3.!i._____. <br /> <br /> <br />*******************~****~*~****~~**L**4*~*******~*****k~kh**~***** <br /> <br />ELEC'l'RICIAN <br /> <br />CUM F.l\N y_________ <br /> <br />SIGNATURF~ <br /> <br />STl\TE CERT OR REGIST ff <br /> <br />*******************'***"*'****'****'**'**'*'********************1 <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE; <br /> <br />,STATE CF.:wr OR REGIS1' It <br /> <br />---~~----~---.__...~--_._.-- <br /> <br />MECnANICAI. <br /> <br />+****~******k**.*************.*~******~**~~~~+*~*~~L~*~****+****** <br /> <br />COMPl\N'{ <br /> <br />S I GNl\,TURE <br /> <br />STATE CERT OR REGIS! ff <br /> <br />******************'******'*************************************** <br /> <br />OTHER <br /> <br />COMP l\NL <br /> <br />S I GNl\.'l'URE <br /> <br />S'J'l\TE CER'J' OR REGIST ff <br /> <br />--~_..__.._---,-.__.._--- <br />