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<br />CITY OF ZEPHYRHILLS PERMIT APPLICA'.r .LUN <br /> <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />DATE RECEIVED <br />PERMITTING 8/3 m g5;tO <br />(21' ck- ;\Jor-t h r ~ /f) <br />PHONE '?5""f?:, 7S3 75/ g T <br /> <br />OWNER'S NAME_ rn~st\C~C; LLC- <br />JOB ADDRESS,3C(,;a) A-u~stC\lJLt \Df'Cd D V. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />o SIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />OALTERATION 0 REPAIR ~STALL <br /> <br />PARCEL 10 # <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~ILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~ { ~~1J ~-"'^ Q <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />< ',- <br />~/oI'/~~'.-"~ <br /> <br /> <br /> <br />C!!Y/ <br /> <br />o BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />~UMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <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 /> <br />~ <br /> <br />PLUMBER " - . j\" COMPANY an <br />SIGNATURE -\jm,tl o...(J ,~0 \ CC\.c~ STATE CERT OR REGIST # ('Fe ~~~N <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />