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<br />.SEP-1?-200409:47 FROM:COAST TO COAST <br /> <br />352 597-8088 <br /> <br />TO: 18137800021 <br /> <br />P.1 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~R St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME -::s.C')."V' ^'" t\cs\-~ "'> <br />JOB ADDRESS, g~~ C ~\ \. . ~\ \I~ . <br />LEGAL DESCRIPTION: LOT(S) \ BLOCK <br /> <br />PHONE <br /> <br />SUBDIVISION <br /> <br />PARCEL ID' ~'-\ - 2.5 - 2..\ - ~O\O - ~\l C>C-l'\C\\ 0 /OBTAIN FROM PROPERTY TAX NOTICEI <br />WORK PROPSED: DNEW CONSTRUCTION D ADDITION DALTERATION D REPAIR ~STALL <br /> <br />OSIGN <br /> <br />D MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />Q'COMMERCIAL <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[]It OF UNITS <br />o SWIMMING POOL <br /> <br />[] MOBILE HOME <br />DOTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~"'.I ('\~\~r ~~~""^ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />[] BUILDING <br /> <br />tr::;J!:> <br />$ \qcD- <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />*-'33~1 <br /> <br />D ELECTRICAL <br />iJ PLUMBING <br />D MECHANICAL $ <br /> <br />AMP SERVICE <br /> <br />[] Progress Energy D <br /> <br />W.R.E.C. <br /> <br />TYPE OF CONSTRUC'l'ION: D BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />r;)~ V I 't/ <br />INSTALLATION ~ <br />05~0f&- <;1(1'/ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES D NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />****************************************************************** <br /> <br />PLUHBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST * <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br /> <br />COMPANY!' --d-- -\-0 c.. eo'~ S~,("\\L\,c-~ <br />STATE CERT OR REGIST * c5'\.54, <br /> <br />SIGNATURE <br />