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<br />~~R/31/20J5/THU 11:40 AM <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />ZEPHYRHILLS BUILDING <br /> <br />FAX No. 813-780-0021 <br /> <br />P.002 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 B"R St, Zuphyrhi11.s, l!'L 33542 <br />B13~780-0020 FAX: 813-760-0021 <br /> <br />DATE Rli:CE IVED <br /> <br />. 1)5 t\o~ Cctref^~))r-- - Le..^^~ ' <br />;7q~1 /7~rLA~,rp//k C'y <br /> <br />9;3- 7(PCj - 5:1.77 <br />e~J. 11635 <br />~/3 -:'7(,<] - S;t-n <br /> <br />PHONE CONTACT FOR PEllMITTING <br /> <br />PHONE <br /> <br />BLOCK <br /> <br />C.tesfVff\,J 11;(/$ <br /> <br />PARCEL ID It <br /> <br />LEGAl~ DESCRI PTI O~ : LOT ( S) <br /> <br />PRpPERTY TAX NOTTr.RI <br /> <br />WORK PROPSEO: <br /> <br />PROPOSED <br /> <br />SUBDIVISION <br /> <br /> <br />7D <br /> <br />CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSl:GN <br />USE ~GL FAMILY <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o IN(\USTRIAL <br /> <br />Off OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DWELLING <br /> <br />(=:J <br />New <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />A/lQoIe/: c/X-Arc/ ZC1? ~ <br />SQUARE FOOTAGE /.92:.-0 <br /> <br />sf (( , <br />) <br /> <br />BUILDING SIZE <br /> <br />OESCRI~:ION' OF WORK <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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />s ,4/ ~ "C?/O <br />/<;-0 <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~. <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Enel;"gy <br /> <br />W.R.E,C. <br /> <br />$ <br /> <br />VALUATION 6F MECHANCIAL INSTALLATION <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION~BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />l;lLECTRICIAN <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />. MECHANICAL <br /> <br />SIGNATURE <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE: AREAD YES <br /> <br />~O <br /> <br />***********.*******.***.************~ <br /> <br />~~// COMPANY 8ts~ P<lllSl.c ~~'c: <br /> <br />./~ STATE CERT OR REGIST" e RoO 1 LfSOl t <br /> <br />.*.******* *********.**************w**.**.*******.****~*******.*** <br /> <br /> <br />COMPANY t)" \1)-.( LOIl'}'- PloJM~"'~ <br />STATE CERT OR REGIST .. C F'C l ~~. (';;>-"1 <br /> <br />.****..**************..*~*:***;~.*****r.*** <br />COMPANY. f' "1 '::> Of( A <--. - <br />STATE CERT OR REGIST .. CA<--O.S-O tf( c <br /> <br />OOU&R ~~::~""~"'*'***'**'**~~:~:"~:;;~i;;;;"""'*' <br /> <br />SIGNATURE /' I. STATE CERT OR REGIST * C C - Co S 7 9 9 I <br />