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<br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 ~1k)/^~ <br />DATE RECEIVED ~ <br /> <br />PHONE CONTACT FOR PERMITTING 2x:Jhn l\ \Je\~ <br /> <br />Lu1 (Jar 'l-/J1'iI~, LM6 <br />78"5<6 [Y1f'rcrarrbLil Ie ~ <br /> <br />BLOCK 0 <br /> <br />~~ /3S0 <br /> <br />PHONE 813 . -q f? - 8 53()/ <br /> <br />SUBDIVISION fu..l-t-vitvJ <br /> <br />LEGAL DESCRIPTION: LOT(S) /~ <br />PARCEL 10 # ~-cJS-6>l- <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o SIGN <br /> <br />o DEMOLISH <br /> <br />o MOVE <br /> <br />PROPOSED USE': rj 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 />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br /> <br />:::::::r::z:F 5;, L/x ~O' s~ :!u~~~~=GE ~t1f ~J- <br /> <br />HEIGHT ~PL <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 />Pi BUILDING <br />]K1 ELECTRICAL <br />!)1 PLUMBING <br />J'1 MECHANICAL <br /> <br />o GAS <br /> <br />M ROOFING <br /> <br />TYPE OF CONSTRUCTION: ~BLOCK <br /> <br />~NO <br /> <br />PERMITS REQUESTED <br /> <br />$ J?iJ)5lD <br />dOD AMP <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />o Progress Energy ~ <br /> <br />W.R.E,C, <br /> <br />SERVICE <br /> <br />$.3~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />J!jJ, CO <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 />BUILDER <br /> <br />SIGNATURE <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br /> <br />:5 <br />CAe D;j~&9!i <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />/!lff)( <br /> <br />COMPANY Ed /(Jon Y;h(--- <br />STATE CERT OR REGIST # 00/3/3.'1- <br /> <br />AOdlq& <br /> <br />****************************************************************** <br /> <br />~k <br /> <br />COMPANY ~+ <br />STATE CERT OR REGIST # CFGoL/d 99 f <br /> <br />AfJIJ1lf ~ <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *:;tF- * * * * * 'P- * * * * * * * * * *.* * <br /> <br />< COMPANY . Q ~ VljJ-I AI J<J'~ . <br />J& ()( f DdL.1cCtb STATE CERT OR REGIST # CACLJ50 ~/ 0 <br /> <br />· .... ~~... ~;:j'/;~""'" ::~;:;:. (2" ~'Z;;i;~ <br /> <br />I!. ~ STATE CERT OR REGIST # . 6 ~-() /3 <br />