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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUILDING DEPARTMENT 5335 8~H St, Zephyrhills, Fl., 33542
<br />813-780-0020 FAX: 813-780-0021
<br />
<br />OWNER'S NAM:eChk-S LLc
<br />JOB ADDRESS Of ' /aQd.QJ1J\Ci rY1GL
<br />~//i
<br />
<br />DATE RECEIVED
<br />PHONE CONTACT FOR PERMITTING ~) 3 7i5:;l g 5~
<br />. RJd<Nor+f1 rqp
<br />. . PHoNE~~7g3-7S/g
<br />LaNw /-hi/Is' ,3,:i:__~ .
<br />
<br />LEGAL DESCRIPTION: LOT(S)
<br />
<br />BLOCK
<br />
<br />SUBDIVISION
<br />
<br />PARCEL ID #
<br />WORK PROPSED: 0 NEW CONSTRUCTION
<br />OSIGN
<br />
<br />PROPOSED USE: OSGL FAMILY DWELLING
<br />o COMMERCIAL
<br />
<br />(OBTAIN FROM PROPERTY. TAX NOTICE)
<br />
<br />o ADDITION
<br />
<br />OALTERATION
<br />
<br />o REPAIR
<br />
<br />o INSTALL
<br />
<br />o MOVE
<br />
<br />o DEMOLISH
<br />
<br />OMULTI-FAMILY
<br />o INDUSTRIAL
<br />
<br />0# OF UNITS
<br />o SWIMMING POOL
<br />
<br />o MOBILE HOME
<br />o OTHER
<br />
<br />DESCRIPTION OF WORK
<br />
<br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL
<br />
<br />~^ ~Q, \;ntaJ2Q,
<br />
<br />BUILDING SIZE
<br />
<br />SQUARE FOOTAGE
<br />
<br />HEIGHT
<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 />& (1) SET ENERGY FORMS.
<br />FORMS.
<br />
<br />o BUILDING
<br />o ELECTRICAL
<br />~UMBING
<br />o MECHANICAL
<br />
<br />$
<br />
<br />VALUATION OF
<br />
<br />n'1 )
<br />I, ~, /
<br />iJ
<br />I
<br />(
<br />\ ('
<br />TOTAL CONSTRUCT~____/
<br />
<br />PERMITS REQUESTED
<br />
<br />AMP SERVICE
<br />
<br />o Progress Energy 0
<br />
<br />W.R.E.C.
<br />
<br />$
<br />
<br />o GAS
<br />
<br />o ROOFING
<br />
<br />o SPECIALTY
<br />
<br />VALUATION OF MECHANCIAL INSTALLATION
<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 AREAO YES 0 NO
<br />
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<br />~ ,~ f i hit, I ! 'I I ,J _ .} ~ trI II. ,~1 J ~.~ ~ j~i'~.!.r '1iiJ.4 :r:~h
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<br />1t''--..oN~_U_I_'''''~^~~_d__'t.:"""~......__~~......>...___.1-~'''''~~,,,_~ _~_L..-l- -'-~-I- - _ -__. _ _ __ _ __ _ _ _ __ ~~_.........-..o-;...",-_d~~.
<br />
<br />BUILDER
<br />
<br />COMPANY
<br />
<br />SIGNATURE
<br />
<br />STATE CERT OR REGIST #
<br />
<br />******************************************************************
<br />
<br />ELECTRICIAN
<br />
<br />COMPANY
<br />
<br />: ; GNATURE
<br />
<br />STATE CERT OR REGIST # .
<br />
<br />******************************************************************
<br />
<br />PLUMBER
<br />
<br />f)"., .~ (,rrJ_ nj _ /r>
<br />~ . '- COMPANY I:::k/t ~Clhj&;:(411'l.LJ '-f/ U/~
<br />- ,,'Uo LJ~ STATE CERT OR REGIST i CFC itf;:J.:i6;J..
<br />
<br />SIGNATURE
<br />
<br />MECHANICAL
<br />
<br />******************************************************************
<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 />
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