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<br />. . <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />IfJ-J,.C}-tJY <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME f.r-/Z...~ Hur-/ -Z .'......... <br />JOB ADDREss3"l::5 Olo L;U\....f ~~C). (-itI L <br />LEGAL DESCRIPTION: LOT(S)-J~) BLOCK <br /> <br />PHONE qi3 5Qr:R) <br /> <br />SUBDIVISIOGJC)...V.,c\ 'I-bDZ()1}S <br />, <br /> <br />PARCEL 10 # <br />WORK PROPSED: ~EW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br />DALTERATION 0 REPAIR ~STALL <br />o DEMOLISH <br /> <br />o SIGN <br />PROPOSED USE: 0 SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />DMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~OBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & <br />DESCRIPTION OF WORK ~.Q::k- lW <br />BUILDING SIZE 2) \, X L ~ '? <br /> <br />HEALTH DEPARTMENT APPROVAL <br /> <br />m(s\-~~\ ~. <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 />PERMITS REQUESTED <br /> <br />)cr'BUILDING <br />'}X'ELECTRICAL <br />)If PLUMBING <br />.)1 MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <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 />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />STATE CERT OR REGIST <br /> <br />i.JLlcP <br /># :[t+OOl){JO ~() <br /> <br />BUILDER <br />SIGNATURE, ,'vJ7~~ <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />uJ C~ L:[-!i?yiV <br /> <br />****************************************************************** <br /> <br /> <br />COMPANyJ) JtJL- <br /> <br />ELECTRICIAN <br /> <br />STATE CERT OR REGIST <br /> <br /># t25.{)()OOO 0) J <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />'-J~---lL1L/J.Jl <br /> <br />COMPANY f)~.~fQlcJ <br />STATE CERT OR REGIST # ::r:..HDlJ{)()O ~() <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />*******************************************~********************* <br /> <br />COMPANY f .L. <br />{.JJ ~ tC:d/~ STATE CE~T OR REGIST i (' fl C () - 3"17,5'';'') <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />