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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION ~ <br />BUILDING DEPAR'l'MENT 5335 STH st, Zephyrhills, I'L 33542 ,. <br />813-7S0-0020 FAX: 813-780-0021 ;; 0 (; <br />DAm RECBrVBD <br /> <br />PROD COI1TACT i'OR PBBHIT'l'DlG <i(IP >: 51)- 048.5- <br /> <br />OWNER'S NAME ~i ILu-riHJ ~ t+'f (L~ C ,v~1J8 PHONE Be 3~- ? (do - {1..Do <br />JOB ADDRESS ~e4 ~ GA-U- (?Lvf).kfWrf-t..f,LLS i PL 3'.5 <;4-2- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 II <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: (]NEW CONSTRUCTION <br />(]SIGN <br /> <br />~DITION <br />(] MOVE <br /> <br />~TERATION <br />(] DEMOLISH <br /> <br />(] REPAIR <br /> <br />[] INSTALL <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />lac;"OMMERC IAL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J,I OF UNITS <br />(] SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DBSClUPTJ:ON OJ'1ImUC AD/) I/l.-fZ.UJC4t-rL. F,1t1Z. <;Pt'Z.J'vI<I~ <br /> <br />BUILDING SIZE 1'30 ')( qo I SQUARE FOOTAGE t (( 700 HEIGHT '3'2 I -J:: <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 />PERMITS REQUBSTED <br /> <br />(] BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />(] ELECTRICAL <br />[J PLUMBING <br />(] MECHANICAL $? t I 000 "CXJ VALUATION OF MECHANCIAL INSTALLATION <br />(] GAS [J ROOFING (] SPECIALTY k OTHER Fu'L (Z Sf /Life) k.112../Z.. <br />TYPE OF CONSTRUCTION: (] BLOCK 0 FRAME )(sTEEL (] OTHER <br /> <br />AMP SERVICE <br /> <br />[J Progress Energy (] <br /> <br />W.R.E.C. <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES 0 NO <br /> <br />_;;"1. <br /> <br />BUILDZR <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST II <br /> <br />*****************************************************************'k <br /> <br />ELECTlUCIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST II <br /> <br />*****************************************************************- <br /> <br />PLtJMBJm <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST II <br /> <br />1IBe_.......At <br /> <br />*****************************************************************i' <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST II <br /> <br />***************************************************************** <br /> <br />~~~~ <br /> <br />COMPANY .:I:~A"TIcvVAL FdUiL .Pt\..Q~opJ <br />STATE CERT OR REGIST II ~c,-ZIZ7cvol'Za:J~ <br />