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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />7/1'7/0,/ <br /> <br />f , <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />~ A~ <br />l1tj 3 Y <br /> <br />Rohe\~ <br />lth. St <br />( 2- /17 <br />I <br />02-1 e>olo <br /> <br />PHONE <br /> <br />""2-cLP~/' hn\~ <br /> <br />BLOCK _C; SUBDIVISION <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />I L( ~~ b <br /> <br />rn Oc0 r e.-:> h'r >-t <br />FROM PROPERTY TA~ NO~ICE) <br /> <br />IJ)J <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE:~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />()() S pO (OBTAIN <br />o I -l- (,') <br />DALTERATION <br /> <br />'%.REPAIR <br /> <br />o INSTALL <br /> <br />PARCEL 10 # <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~~~ 1 Ct-- c..-e- ?s tl'/IlJoW5 <br /> <br />, <br />5 I '- -(/- <br /> <br />~D\ <br /> <br />I <br />>1'Z,e <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />& (1) SET ENERGY FORMS, <br />FORMS. <br /> <br />Q7, -;~ ()W)G. <br /> <br />o BUILDING <br /> <br />$ <br /> <br /><6 7-07 <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <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 />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION -'50-5 o'f\. 'S/~q <br /> <br />o OTHER Y07 '-\ (;4 - S <br />o FRAME 0 STEEL 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />cf2;c oS?5CJo <br /> <br />************************* *************************************** <br /> <br />ELECTRICIAN COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br /> <br />*************************************************** <br /> <br />PLUMBER COMPANY <br /> <br />************************** *************************************** <br /> <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />MECHANICAL COMPANY <br /> <br />SIGNATURE OR REGIST # <br /> <br />*********************************** ***************************** <br /> <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />