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<br />OWNER'S NAME <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 ~ ,q II) C- <br />DATE RECE IVED ~ -/L ~ <br /> <br />PHONE CONTACT FOR PERMITTING ,\()hn J /"IJf l V <br /> <br />~ <br />PHONE ~) 9' t " { {~ 1',--5, <br /> <br />JOB ADDRESS <br /> <br />!.Lr1()tZr <br />7&53 <br /> <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 10 # 35r;J()- d I ~ <br /> <br />qq <br /> <br />BLOCK <br /> <br />SUBDIVISION Ou-.l-l-l/LuJ <br /> <br />~ -()qQD <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <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 />BUILDING SIZE L~l))( <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />lS/o S& <br />L3~.~ <br /> <br />Ut7P1U~ ~~J- <br /> <br />SQUARE FO TAGE (9~)L/ <br /> <br />HEIGHT <br /> <br />J7 f)1- <br /> <br />DESCRIPTION OF WORK <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 REQUESTED <br /> <br />~ BUILDING <br />Csj ELECTRICAL <br />~ PLUMBING <br />1\1 MECHANICAL <br /> <br />$ <br /> <br />lc9w,ldD <br />6tD <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy ~ <br /> <br />W.R.E.C. <br /> <br />$ 35C/G <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />& <br />~ c1:'J?- <br /> <br />o GAS <br /> <br />[\ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />1~~. 00 <br /> <br />o STEEL <br /> <br />o OT HER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />P(NO <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />:5 <br />Cl3c oJjtp&9J <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />)(;rx <br /> <br />ff)1U;# <br /> <br />COMPANY Ed fY)t2fl ~--' <br />STATE CERT OR REGIST # QO/3/3.zf <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />^{b~ <br /> <br />COMPANY ~+ , <br />STATE CERT OR REGIST # CFGoL/J. 99 f <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />******************************************~*****~*********..*** <br /> <br />~, COMPANY. Q 3 'I11Ji.d1 ~~ . <br />. ;({}q~ STATE CERT OR REGIST # CALDS/J 4/0 <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />· .....~~..... ...: .~ .... ......:. 'c~~::: '(i' '~'Z;;~"~+-- <br /> <br />~~ tJ)/~ STATE CERT OR REGIST # 'l1C.i!~I}O;3 <br /> <br />OTHER <br />