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<br />37)~ ~7'1- r.:o6b -/ L-M~~ <br /> <br />--? c; J-- ~ ~ D "2:> - ('... 9 & Lj r< (,elL. <br />7 Cr/( <br />-:;S'5d ~ Go;~'-' ~ c; I B '7 - 13 i /I SkI (f1--/2- - <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 />0/ tt-o'i <br /> <br />diiii <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />Z-t:(J t~ ': L L <br />:3 7 t:f StJ <br /> <br />c_ <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />/b_7H _'/tye <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: []NEW CONSTRUCTION <br />[] SIGN <br />PROPOSED USE: []SGL FAMILY DWELLING <br />~COMM:ERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[] ADDITION <br />DMOVE <br /> <br />')Z.lALTERAT ION <br />D DEMOLISH <br /> <br />[] REPAIR <br /> <br />D INSTALL <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />0# OF UNITS <br />[] SWIMMING POOL <br /> <br />[] MOB ILE HOME <br />D OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Rc- /V1'C D \~VV\ )y sr-rj/\ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HE IGHT . <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMM:ERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PE T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />fPL fJ ~~~URVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br />DATE . I\'::)_ j)~~ . <br />eV''-C'IN DEPT P P.CJVED _ l/ , <br />PERMITS REQUESTED <br /> <br />,.-- ....... <br />~u <br /> <br />f:>LJJ b <br />fJ~LC . <br /> <br />52. <br />--;2-C" <br />') ~ ' <br /> <br />'" <br />-;>...... <br /> <br />[] BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />[] PLUMBING <br />[] MECHANICAL <br /> <br />$ <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />CONTAAC'I!O:a.......smCTIQN <br /> <br />SIGNATURE <br /> <br />cLd 7dt~ <br /> <br />COMPANY <br /> <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # ((~ -CO SS/S '$ <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE~O~ ' <br /> <br />COMPANY ~ e e..,,'-e-- 8 e.-L-1'J c,~c.. ( ')--iA-'L <br />~ J' <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 />****************************************************************** <br /> <br />MECHANICAL <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 />