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<br />- ' <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLI~ATIUN <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />!J-j ~ loG <br />( ( <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAM~. .~..J--ro--ch~1:€ ,PHONE ~8--U.:<-c'i?~~ <br />JOB ADDRESS~_ .~._~ O~ <br />LEGAL DESCRIPTION: LOT(S) 0#0 BLOCK~ SUBDIVISION OJ30' <br />PARCEL 10 #3J.l--1~ ~t - ()/:=J:c> -~CO... 0'!-10 /OBTAIN FROM PROPERTY TAX NOTICE\ <br />WORK PROPSED: ~ CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR 0 INSTALL <br /> <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE:~FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK n~.s (nc; Ie.. ~L ~ ~/de~c:- <br />BUILDING SIZE~~II!/X4-R' t) ... SQUARE FOOTAGE 77!:b fibJ-a--f.. HEIGHT g I <br /> <br />~ILDING <br />'~ECTRICAL <br />~MBING <br />~ECHANICAL <br />o GAS ~ING 0 SPECIALTY <br />TYPE OF CONSTRUCTION:~CK <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 />41 PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~~:r ~<a&d ~ ~t J~ <br />PERMITS REQUESTED <br /> <br />$ 1-;;)3. ODe) '0" VALUATION OF TOTAL CONSTRUCTION <br />, <br /> <br />~ 00 AMP SERVICE <br /> <br />~progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ '3~OO.~C <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREA 0 YES ~ <br /> <br /> <br />SIGNATUl;tE <br /> <br />~~ eOMPANY~o-.. ("--C<L<~o.u~ <br />- ** *** ** - _ ** ** ** *?!. ** *** ** ~:~:: * ::~: * ~~* ~:~~~: *: * c:e::.: ~3 5 J s 'f <br /> <br />BUILDER <br /> <br />PLUMBER <br /> <br /> <br />SIGNATUR <br /> <br />MECHANICAL ./ A" .' ...... COMPA <br />SIGNATURL ~ ~ ~ . P STATE CERT <br />************~~~**~:~~**************** <br /> <br />OR REGIST # (l ~~ 0 o/8<f9r!? <br /> <br /> <br />COMPAN <br /> <br /> <br />******************** ~ <br /> <br />~s-f-r~~L- <br />OR REGIST #~. /3~..5/:;o.s <br /> <br />STATE CERT <br />