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<br />JOB ADDRESS <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATIUN <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 DATE REC~VEDg~:;e-05- <br /> <br />PH.ONE CONTACT FOR PERM~';;~~:f~~ <br /> <br />rAo~lI)ff /IIEj)/~L e/-I,,If.ltC PHO E 3sz-'i~~-t?J7.> <br />:5' P: "/~ S;;~ . . <br /> <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />o SIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />(OBTAIN <br />#LTERATION <br />o DEMOLISH <br /> <br />FROM PROPERTY TAX NOTICE\ <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED <br /> <br />USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS <br /> <br />t COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL <br /> <br />. c=J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br />~c: jr?{)j) cL ^ ~-kx'fO/L <br />9jo <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION:~BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />.;Z f; O~ <br />J:< c;o . <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />~ Progress Energy <br /> <br /> <br />S. <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. .d1 ;JAit to <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCfOr ./""'D <br /> <br />.Jf sq ~S1-~..,-{~...., ~ <br />PERMITS REQUESTED ~! <br /> <br />o BUILDING <br />~CTRICAL <br />~BING <br />o MECHANICAL <br /> <br />7 <br /> <br />$ <br /> <br />o <br /> <br />OF <br /> <br />t-" <br />^~. ~ <br />STALLATION~ .~v ~~ ~ <br />~ ~t:' .A-fI.J...~ <br />~y *');) <br />\- t~~ f..f <br />" '1 <br />AREA 0 Y.s')<f~ <br /> <br />o <br /> <br />o <br /> <br />o STEEL <br />IS PR~T <br /> <br />BUILDER <br />SIGNA;UR~ <br /> <br />5tU1~ 7;)~~ <br /> <br />STATE CERT OR REGIST # <br /> <br />~********************************************************** <br /> <br />COMPANY 1{Cl. '+-1;' I~~,' U I ---l0. L <br /> <br />STATE CERT OR REGIST # F:C/36n /6 '63 <br /> <br /> <br />PLUMBER I \ ~_. ~**;~**~*~*********:::::::~;;:;;:~**~:A*~**** ~ <br /> <br />SIGNATURE~ ~Li)(~lti~ STATE CERT OR REGIST # <br /> <br /> <br />MECHANICAL <br /> <br /> <br />****************************************************************** <br />COMPANY ., .ed ><'-;4 <br /> <br />STATE CERT 0 /l?~ <br /> <br /> <br /> <br />************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />