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<br />fu'Yl'af ? ) <br />OWNER'S NAM"-~€ ~V'Q; nlo,J- d/}t<"- <br />JOB ADDRESS 01'~ ~ b A- \ \ Iif!..LJ /'J/ <br />LEGAL DESCRIPTION: LOT (S) CO II BLOCK O~50{) <br />PARCEL ID # 6J~J..(fi -~, ~ 'DO, i) ~ 0,:j.50n ~ not I <br /> <br />(~- <br />\h1/Q/~ <br />~-- <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />~-4-~ <br /> <br />PHONE CONTACT FOR PE:RMITTING <br /> <br />PHONE g I,:;>' 7't J. I}-I LJ <br /> <br />SUBDIVISION <br /> <br />tJO I () <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />[JALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />[J SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[JCOMMERCIAL <br /> <br />[JMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />/12~ ," Ot/ kW fdJ."r; ,;1. - 5 <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />'5 flO (H) <br />c;?{ .~D. <br /> <br />PERMITS REQUESTED <br /> <br />& {I) SET ENERGY FORMS. <br />FORMS. "...' /- ---\ <br /> <br /> <br />~i0/ ) <br /> <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />[J BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br />[J PLUMBING <br />[J MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy [J <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 />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />COMPAN~Jl) -Sch.'t['.tA",'/200) fA. ]/fA.C. <br />I' f/ U' <br /> <br />STATE CERT OR REGIST # CGCOSf/:Jr <br /> <br /> <br />, ******************************************************;,*********** <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <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 />