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<br />~ M.~ 03 04 09,22. <br /> <br />R & R GARAGE DOORS <br /> <br />(352)754-1246 <br /> <br />f'. 1 <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 /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME b CTi'f {V\ (j CL~H f <br />JOB ADDRESS 1 1- -z. '1 It'-l :)I{ (.. "q."'h ])2.. <br />LEGAL DESCRIPTION: LOT(S) 21 BLOCK <br />PARCEL 10 # 35 ZS 2..1 DOSO ('}Oooo (YL/~_ <br /> <br />PHONE 815- 1/6 - tOl2 <br /> <br />SUBDIVISION IJOH4 V/<'l..A6.€.. 1E.S7 <br /> <br />WORK PROPSED: tJNEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: ~GL FAMILY <br />o COMMERCIAL <br /> <br />(ORTATN FROM PROPEnTY TAX NOTTCF.\ <br /> <br />DWELLING <br /> <br />o ADDITION o ALTERAT ION o REPAIR &(INSTALL <br />o MOVE 0 DEMOLISH <br />OMULTI-FAMILY Off OF UNITS o MOBILE HOME <br />.P INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />, <br />, <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAl. <br />DESCRIPTION OF WORK ,]:( t_l-=>LAC.E l::.)'",\'~~TI "'.<r ()o\::1' \-I.E-,':lo G(H~J.:JGF 'J'JOo'i:.': <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETR OF BUILDING PLANS & (ll SET ENERGY FOHMS. <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 />o ELECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />.., <br />., <br />~ [)V' <br />f-, f>, <br /> <br />o BUILDING <br /> <br />$....:115 ' 63 <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />OGAS <br /> <br />o ROOFING 0 SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />tJ OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />l <br /> <br />BUILDER <br /> <br />gq~,m~~...~,~;r;~ ~ <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <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 H <br /> <br />***************************************************************** <br /> <br />COMPANY Ke..K MIlA6/: 'uttJ~. /r/C <br /> <br />.l'M.. :!,j "~",;"",,,,;'....: /'}~. ;-., <br />STATE CERT,'OR, ~EGJ~,T. 7#-:L:.C< ~ ~ IOS- <br /> <br />OTHER <br /> <br />~."a1 <br />~ ' i'".' .I ~ <br />SIGNATURE...". . .r. ,b-~ <br />: ,.." ' '; I ..~.... ~ ,'. '.' -; . o. \.. <br />