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<br />'". <br /> <br />DATE RECEIVED <br /> <br />,..,~ ~;. <br />?"'f- 0 '/ <br /> <br />I <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 />PHONE CONTACT FOR PERMITTING L: 35Z'5"b1- cr ~ e~ <br /> <br />--~-- ~---_._----- <br />-------.--- - <br /> <br />OWNER'S NAME Sr . w;s~ ~u. c.... C -4-4 U(Lt.,U <br />JOB ADDRESS 5 ~l.'-\ 0 s-1b Asv..... ~...y...,"( r ~ <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <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 />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />.. <br />DESCRIPTION OF WORK -:IN~o. J ~~.. ~1.~~U- ~v'~"'" <br /> <br />BUILDING SIZE ~t.o SQUARE FOOTAGE ~ <br /> <br />CJ4vruJ VWEE'rTNC, ~ <br /> <br />~UILDING <br />~~CTRICAL <br />P--P'~UMBING <br />~~NICAL <br /> <br />,--~.~!>~.!2 ) <br />(0 ~ Ail" <br /> <br />HEIGHT <br />1. ~ ~("1 <br />& (1) SET ENERGY FORMS. <br />FORMS . 4~}'~ oK <br /> <br />:I (}J ~~~. <br />IV~::::::---~- . . <br />PERMITS REQUESTED . /' <:.....e. t- <br />rP . ,~ <br />VALUATION OF TOTAL CONSTRUCTIONr; J. ______--. <br />r/ <br />, ,/ <br />~.,~ AMP SERVICE 0 Progress Energy '~.C. <br /> <br /> <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />$ <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 AREAD YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />trI~J'~ <br /> <br />COMPANY t'l'rr <br />STATE CERT OR REGIST # <br /> <br />tiws /v"cJ",.; J a.. c.. <br />I' <br /> <br />BUILDER <br /> <br />-CIiL 0 l...W< S-O <br /> <br />*****************************************************~*~********** <br /> <br />SIGNATURE <br /> <br />/.:~z-- J~ <br />t/" <br /> <br />COMPANY bpf...n/t'" Z/nJ"" ~,,?,/ 3r,-v:/rz.>.kr. <br />/ / <br /> <br />STATE CERT OR REGIST # /L ,?>O<-,_7/p/ <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER ~ ~ <br />SIGNATUR 1/ <br /> <br />COMPANY ~rs ~B2(/LCl7 ?/-vL r:P fl-L,. <br /> <br />STATE CERT OR REGIST # <br /> <br />*********************************************************~******* <br /> <br />MECHANICAL .,/,1) /' , COMPANY I.~\lh~~ ~"-- ~''-'l ~P'V I' <br /> <br />SIGNATURE L-~.. ~L~ STATE CERT OR REGIST * C 1/ c. IS I], S 79 <br />V <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />