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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 / I <br />813-780-0020 FAX: 813-780-0021 I /:(v / () S <br />DATE RECEIVED I I <br /> <br />PHONE CONTACT FOR PERMITTING '7tt/-'/Z 7/ <br /> <br />OWNER'S NAME tJt1() to tA.J.::1lJ1f NSOIt) PHONE &~) 7/tl-etZ7/ <br />JOB ADDRESS 37Yy(j P/C-K€,TS Mlu.S At/C. 2-/{/u5, Ft,.3gsy/ <br />LEGAL DESCRIPTION: LOT(S) 3 BLOCK SUBDIVISION5It..VB<~V'Lt-.A'lG6 <br />PARCEL 10 # O? -26--2-1 ~~.Q!;F"t'O-oO~O (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ~ CONSTRUCTION 0 ADDITION DALTERATION U REPAIR 0 INSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />DESCRIPTION OF WORK ::T/NIot..E rt/111lbVlJWUt../ d~ <br />LL/ . (/ . <br />BUILDING SIZE -{ 0 '/56 SQUARE FOOTAGE 1.... (24-0 <br /> <br />HEIGHT <br /> <br />91 <br /> <br /> <br />RESIDENTIAL: ATTACH (2) PLOT <br />COMMERCIAL: ATTACH (3) <br /> <br />IF i:3 ~~~ <br /> <br />SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />FORMS. <br /> <br /> <br /> <br />REQUIRED. <br />CONSTRUCTION. <br /> <br />'ZtJO <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />~rogress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o MECHANICAL <br /> <br />"3. ~~.- ~ <br />$ , <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: ~~CK <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 ~O <br /> <br /> <br />COMPAN~)/M () ai. ~1OHAJSd/V /4tl)e. J Pc. <br />STATE CERT OR REGIST # e 6Cc?603/b <br /> <br />*********** <br /> <br />****************************************************** <br /> <br />ELECTRICIAN <br /> <br />~~~fLu..J <br />. <br /> <br />SIGNATURE <br /> <br />COMPANy_R.Q.t..~e Ele.Gtw..'c.....L ~l.. <br /> <br />IYl../G <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />/J/L /J/() COMPANY ;;/bl JaYl1e5 P/hf' J"C <br />~7 {;fI, ~ STATE CERT OR REGIST # LI=C /'11b3 /3 <br /> <br /> <br />*~******t.:*************************************************~****** <br /> <br />PLUMBER <br /> <br />STATE CERT OR <br /> <br />-':;-OA/f'C-y/ <br />REGIST # -1..f1 00 / ~ L{ t / <br />( <br /> <br />SIGNATURE <br /> <br />~~7+ <br /> <br />COMPANY <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />