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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 &t. IIO/ltr <br />DATE RECEIVED :..; 1/ y{)~ <br /> <br />PHONE CONTACT FOR PERMITTING JcJ1f) Ir'ue./y <br /> <br /> <br />PHONE 813 - CfIF~~S31 <br /> <br /> <br />JOB ADDRESS '79-01 <br /> <br />Ou-.i-!-V Lu-J <br /> <br />PARCEL ID # <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />[J REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: CilSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-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 <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />OF WORK lS/() set <br />~5~ 'I;f ~O <br /> <br />UCZu?U ~. ~ :-ZJ- <br /> <br />SQUARE FO TAGE cJ3 7 L/ <br /> <br />HEIGHT $L- <br /> <br />DESCRIPTION <br /> <br />RESIDE~TIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORfVI . <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTROCTION. <br /> <br />~BUILDING <br />P ELECTRICAL <br />~PLUMBING ~~^ <br />12 MECHANICAL $ (-1-))0 <br />o GAS ~OOFING ~~Y <br />TYPE OF CONSTRUCTION: if BLOCK <br /> <br />$ tiIJ.FJ70 <br />ex AMP <br /> <br />PERMITS REQUESTED <br /> <br />SERVICE <br /> <br />o <br /> <br />TOTAL CONSTROCTION <br /> <br />Progress Energy ~ <br /> <br />( <br /> <br />W.R.E.C. <br /> <br />VALUATION OF <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />.50 <br /> <br />o STEEL <br /> <br />o OT HER <br /> <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~NO <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />:5 <br />CI3C o1iLl&9j <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />************************************************** <br /> <br />SIGNATURE <br /> <br />, / (fl.. . ....4..4 COMPANY [}IIYJO~Y;J1(~ <br />~/){jJMLCZ; ) n1/~/:b STATE CERT OR REGIST # 00/3/3 'f <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />k a COMPANY ~d- . <br />--x.i!tt4 I-If~ STATE CERT OR REGIST I CFGol/J, 99<;;' <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />J?n>*>>***>**>>*>****************************:;6F*****;S;***>*>*.***** <br /> <br />AU COMPANY. ~ ~ ~A1fJ~ <br />(~, wffi STATE CERT OR REGIST # Ci4('--L)S/J 1//0 <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />~****** * *** *:fl* **> *** ** ***>*:~~::;:*C: *~>~;>>~ <br /> <br />;~ ~ - STATE CERT OR REGIST # 'llCl!i:,-O/ <br /> <br />OTHER <br />