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<br />OWNER'S NAME <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FI, 33542 <br />813-780-0020 FAX: 813-780-0021 ~1 KJJ()~ <br />DATE RECElVED~( el( I~ <br /> <br />PHONE CONTACT FOR PERMITTING ~n livelV <br />l3-C} l~ 'dSSt <br />PHONE gt;3-:-1 ft . .:: (..i /13 <br /> <br />JOB ADDRESS <br /> <br />LuJt1ar <br />7 CQ Js <br /> <br /> <br />~ <br /> <br />LEGAL DESCRIPTION: LOT(S) IL)~ <br /> <br />PARCEL 10 # 35~ as- -2/ - <br /> <br />BLOCK <br /> <br /> <br />SUB 0 IVI S ION 6.;.J..-I-1/ Ltv.J <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />[J 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 />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK l-S- 11 S& il., ){b1U~. r:LJ.I ).(.tL< /lJ- <br />BUILDING SIZE t..J;d ~ t/D SQUARE FO TAGE Z zz. '-- <br /> <br />HEIGHT ~ <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 />~ BUILDING <br />-q ELECTRICAL <br />(( PLUMBING <br />~ !1ECHANICAL <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />J~~,~I[) VALUATION OF TOTAL CONSTRUCTION <br />c9W <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy .)([ <br /> <br />W.R.E.C. <br /> <br />$~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS C\ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />.OJ <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />.\;1 NO <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />:5 <br />CI3C 01 t't?&9j <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />;[)~p <br /> <br />COMPANY Ed /(J{]J1..~ <br />STATE CERT OR REGIST # 00/3/3 .V- <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />AV(J~ <br /> <br />COMPANY ~+ . <br />STATE CERT OR REGIST # CFGOL./d 9C; f <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * :;tF * * * * * p. * * * * * * * * * *.* * <br /> <br />I COMPANY . L~ '?~j)lJ/A1 J(J~ <br /> <br />cj(()(. ;J)~ STATE CERT OR REGIST # CACLJ5/J 4/0 <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />* * * * * * *~: ;* * * * * ~ *~: *.* *:= * * * * * * ~~~::;: * (i * * ~*!:~* * ~ <br /> <br />~ J{U2-f.?iLYz:/ STATE CERT OR REGIST # flell ~- () /~ <br /> <br />OTHER <br />