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<br />De~ 21 04 10:46a <br /> <br />abear air cond <br /> <br />813 874 6713 <br /> <br />p. 1 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8". St, Zephyrhills, FL 33542 !o <br />813-780-0020 FAX: 813-780-0021 <br />DATE RECEIVED /;/ ~ Or! <br /> <br />PHONE CONTACT FOR PERMITTING 5.?'\3-- ~LI-2l/43 <br /> <br />OWNER' S NAM~Wa.f c\ <br />JOB ADDRESS -~Cj 6{08' <br /> <br />r -A2. () S i et2- <br />&~ Ave. <br /> <br />PHONE <br /> <br />S(3-7~d-035'O <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL 10 # -,.;2.-d.V-Ol.\-OO3)-QOIOO- oaoo <br /> <br />SUBDIVISION <br /> <br />(ORTAIN FROM PROP~RTY TAX NOTICE I <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />[]SIGN <br /> <br />[] ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />[]COMMERCIAL <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[] # OF UNITS <br />[] SWIMMING POOL <br /> <br />[] MOBILE HOME <br />o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />/,u,F( 5ffNfi,rS~ <br />DESCRIPTION OF WORK A ~ C () ;;).1/z -ton IZs.etf t:5 ~u vi 1~J1 f) _ / <br /> <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 />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br /> <br />PERMITS REQUESTED <br /> <br />D BUILDING <br />~' ~LECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~o <br /> <br />D <br /> <br />o PLUMBING <br />,Bt'MECHANICAL <br /> <br />$ <br /> <br />~?7(P <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[] OTHER <br /> <br />\ <br />}fJ10 <br /> <br />D GAS D ROOFING [] SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />o S'l'EEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES [] NO <br /> <br />qQ~~q~~~.Ee~tQ~ <br />~_"~:"., .,...... .'\.:.".~.....~~~;.r."...,..~_.!..l'. .~.....:... _'___......... .,...'...:'. <br /> <br />BUIIDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST It <br /> <br />****************************************************************** <br /> <br />SIGNATURE: <br /> <br />t~~f\~Q. <br />'---~ . <br /> <br />COMPANY rY\elCf<\ ,--p'o E~l..~Cf"R I c... <br />STATE CERT OR REGIST It /;;:;;1Zo. OOO'1? 1(P <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLtlNBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST It <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />COMPANY A- f::eA-{ A Ie cu <br /> <br />STATE CERT OR REGIST!# CP(~051 ~.~ <br /> <br />~~_.:;':_b~_7 <br />(_..~-_ ge'+'11l11 c. <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />