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<br />fN/05/2o.05/WED 0.9 31 AM <br /> <br />ZEPHYRHILLS BUILDING <br /> <br />VI}' N- n'n ~nn nnnl <br />f., Ol'j"-I',-,II-III:/j <br />... I '-'.... VI.! \,...''-..... <br /> <br />p, 001 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING I>EPARTMEN~ 5335 em St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 'Ja... 'D Q~ <br />. ,I ' DATE RECEIVED n-, <br /> <br />PHONE CONTACT FOR PERMJ:'1'~ING <br /> <br />OWNER'S NAME-.K D h <br /> <br />,fV~ ~iJi'\-CJ2~r <br /> <br />PHONE <br /> <br />JOB ADDRESS <br />LEGAL DESCRIPTION: LOT (S) 5€ €- ~tt, BLOCK <br />PARCEL In i ~":rl.\ -()\5~'<"" C6{)(~:y":CX,")'l") <br />WORK PROPSED: ~ CONSTROCTION 0 ADDITION <br /> <br />SUBDIVISION <br />rORTATN ~ROM PROPERTY TAX NQTTC~1 <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING OMOLTI-FAMILY <br />~RCIAL o INDUSTRIAL <br /> <br />Of OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />DOTfiER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />I>~.CR.IPTION OF liORI< ..:l (: ( \ ~ ~ ( {)I! <br />BUILDING SIZ~ . l)fG - SQUARE roOTAGE ~ <br /> <br />HEIGHT <br /> <br />a J!1t <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) 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 />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <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 o ROOFING DSPECIALTY .P( OTHER :LeQ'c:s~ton <br />TYPE OF CONSTRUCTION: ~CK 0 FRAME 0 STEEL 0 OTHER <br />FINISHED FLOOR ELEVATIONS ~ IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />~~~;~t3~~;!'~;;~"--:-~..-:_~~~'~~~-_ - .-~~:~<;~?~~~~~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR.REGIST # <br /> <br />****************************************************************** <br /> <br />ELEC!rIUCIAN <br /> <br />COMPANY <br /> <br />SIGNA'I'ORE <br /> <br />STATE CERT OR REGIST # <br /> <br />['J- <br />