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<br />OWNER'S NAME Glorit'u --1Y)u.-(/ff <br />JOB ADDRESS GS-I../q ;c;-h.... ~ Z efl-1t'J y Lt' ( (5') -f2 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 . / / J <br />DATE RECE lVED / oil t7Z I () if <br />/ Wvit\L-. . . _ \ <br />PHONE CONTACT FOR PE~~TIN~..~!~_-3 . bg? - / ~!3:-.) <br /> <br />- . <:~~"--."'-'-'''' .....--..---.......--......--..--.... <br /> <br />PHONE F:/:J -779- <8/10 <br /> <br />:3 ~ <;tl ;;+- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 #) <br />\.... --_....:...;:::.::..::--;-::-- <br /> <br />WORK PRO~ED: DNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />~TION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~AMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <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 /> <br />DESCRIPTION OF WORK. GO((l1{ aclM'~ <br />BUILDING SIZE 45''{ X 2(3) <br /> <br />SQUARE FOOTAGE <br /> <br />i <- 7 0 s--q rf- <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 />/ <br />[2"'iILDING <br /> <br />g . ELECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />([) <br /> <br />t.~- <br /> <br />$ /tJ- /~, coo. VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br /> <br />o PLUMBING <br />o MECHANICAL <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 />~RAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />~~ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREA 0 YES <br /> <br /> <br />SIGNATURE <br /> <br />Q/~9~ <br /> <br />COMPANY <br /> <br />(J{JJ/A.LV <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN ~ ~ ~ <br />SIGNATURE <br /> <br />COMPANY <br /> <br />~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />.~ ~ - f COMPANY ~-- <br />SrA~7r - - .-?~~ .. STATE CERT OR REGIST I <br />. ****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />