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<br />CITY OF ZEPHYRHILLS PERMIT APPLICAT~U~ <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhi.11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br /> <br />DATE RECEIVED <br /> <br />~ J3--77d1- ZJ-ff1f <br /> <br />OWNER'S NAME <br /> <br />13L-AISu~ J JOYCE <br />-:3fj'-/2,1.. Cb IfcJn f/I(tl:>./) f''- <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />() "Z..-~ ",Z/-O 2(13_ roJOb -ro6$lt <br /> <br />SUBDIVISION jJl-lfr/Arn1) <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />D SIGN <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />~NSTALL <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />o MOBILE HOME <br />DOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />/ A/5(/Jt-VIJ'rl~ of 2 I/IIIMPf?Vf~ ,IV/) cA'*7I ve -r>> /4rP:, J:j tJl'~/Jr <br /> <br />, <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY jRMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ._~ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. l~ ') ') <br />_)L. <br /> <br />FORMS. <br /> <br />pLvG, <br /> <br />ff BUILDING <br /> <br />$ 7tZ.4-2-- <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL $ <br /> <br />AMP SERVICE <br /> <br />D Progress Energy D <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF <br />o OTHER <br /> <br />/ '\ <br /> <br />MECHANCIAL INSTALLATlci ~ <br /> <br />l- <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />f::~:~~C:~~~~,~~-'-~:-~~~~~_~, ..~~~~~~~~~:~:'_.~~__~ . _-__ - -.. _ _ _ __ __ _ --~~~~:.--~_-~:-~~~~=:~,~~_I.-~'I, ~7~~~~~[!{:"J; <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER ~ftb: ?:f/!=/ M- COMPANY .u, VIk: IS .JIor.. Gn.k", I /VC- <br />SIGNATURE' { ,'. STATE CERT OR REGIST # CqL I Sb f4-J7 <br />