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<br />CITY OF ZEPHYRHILLS P:&:RMI1' APPLICATION <br />BUILDING DEPARTMENT 5335 8ft St, Zephyrhills,. i'I. 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />>?- Q 10 ~ o1.j <br /> <br />PHONE CONTACT FOR PERMITTING ,f'1.3-7~'?331<J <br /> <br />OWNER'S NAME Z'e~"'I..jIJlij uJesJ~/J111 C:.{u..rLA. <br />JOB ADDRESS ~8"9;lt/ C' 4v e <br /> <br />PHONE f/J''7J.:l- ?$I" <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID * <br />WORK PROPSED: DNEW CONSTRUCTION <br />OSIGN <br /> <br />SUBDIVISION <br /> <br />(ORTATN FROM PROPF.RTY TAX NOTIr.F.l <br /> <br />o ADDITION <br />o MOVE <br /> <br />DALTERATION <br />D DEMOLISH <br /> <br />o REPAIR JlfINSTALL <br /> <br />PROPOSED USE:OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />~OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK AJde S~rt4?e '9A~d -IJ" J,.9).h And QJ1c r~cer+,C',I't <br /> <br />BUILDING SIZE <br /> <br />.' <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />I . <br />I <br />I <br /> <br />RESIDENTIAL:' ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING P~S <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PIJ\NS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />PERMI1'S REQUESTED <br />':'.1 (;. ) <br />l~~'~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE ~ fl.,,?''''' Ii"",,,!,! 0 <br /> <br />W.R.E.C~ <br /> <br />o BUILDING <br />o ELECTRICAL <br /> <br />$ (. #'~ <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />,/ <br /> <br />$""'33& ) <br />1? <br /> <br />$ <br /> <br />/ <br />: <br /> <br />DGAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />o STEEL <br /> <br />INSTALLAT/rON <br />\ <br />\ <br />"" <br />'..---- <br /> <br />~~~... <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD. ZONE AREAD YES 0 NO <br /> <br /> <br />:,~.B <br /> <br />BUILDER <br /> <br />COMPANY. <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br /> <br />****************************************************************** <br /> <br />ELECTRICIANc.-c/ <br />SIGNATURE ~~:1. aJ~~ <br /> <br />COMPANY. p,,++, ~ E/eel--r,"c' , <br />, ~~-"DOIJl.'-8' <br />STATE CERT OR REGIST- # c.,,~f - "-1,~7 <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br />MECHANICAL COMPANY PA#-/~ S~c.;""'~ <br /> <br />SIGNATURE STATE CERT OR REGIST * (!mC- tJ.~';-~7' <br /> <br />-~3S1 <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />