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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 />OWNER'S NAME <br /> <br />f, hn d rT)(L~ Dr)! (~lr11 I m.d <br />( Q" 3 3 G-{Ll \ :13 L\J A <br /> <br />DATE RECEIVED '7 l~ I ~ <br />I <br />PERMITTING ~13 - L{ 11, .~93 /-..q <br /> <br />Lp .3 "'?:- Ii) <1 lo Ll <br />PHONE .1 " C{ .-. 333'1 <br /> <br />PHONE CONTACT FOR <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL 10 # () 3- 'll,p - c~ \ - (j [;; \ 0 - uS ~O - tiii.h2rN FROM PROPERTY TAX NOTICE l <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br />~DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />CJ RESTAURANT <br /> <br />DESCRIPTION OF WORK C~ 0 m ~ L (,::, T e. ,,OJ) t' (OJ D . <br /> <br />SQUARE FOOTAGE J '2' [) 0 () <br />( <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: 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 />& HEALTH DEPARTMENT APPROVAL <br /> <br />Df-\'\ ~E ~~ LL~ca~ \C he:,u se <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />"', <br /> <br />o BUILDING <br /> <br />PERMITS REQUESTED <br />$ .~ I ~ o{ ~5. 0 D VALUATION OF TOTAL CONSTRUCTION <br /> <br />,,/7 .~J <br />f . >.') 'J< <br />/A '-../0' <br />/;\ <br /> <br />L <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # .3 5l\ "'3~) <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 />*********************************************************~,******** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # _ <br /> <br />OTHER~)C:)~~) mnL') ci <br /> <br />***************************************************************** <br /> <br /> <br />COMPANY ues \'))Of/ d ~-<() t~)d~ n <br />I <br /> <br />3 31{ 35 <br /> <br />{:/ <br />\0 Ll; d~ Y"'l <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />