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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />/ - ", /-0 !/- <br />DATE RECE IVED fL t/t;;L <br /> <br />PHONE CONTACT FOR PERMITTING r?13 - 7g;l-PJ//7 <br />9~ <br /> <br />OWNER'S NAME <br /> <br />VJI__LAbF CJ/1t0F <br />3 Cjr:110 ViLLAGE <br /> <br />AP{}eT /J1E/J/5 <br /> <br />CI-{A-sE JJe. <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # ()/-.,2fo-;t./-ODiD-fJ9C:O-0d.06 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION )0- REPAIR <br />o DEMOLISH <br /> <br />)Q INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <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 />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Pl2otA;JE TAN;!. <br /> <br />/ fV Sil}L--L-A'1fON / EoJ6 t>/ A,/JIAl6- / F~AL <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 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 CONSTRUCTI~.t-1<- X. (.J) . <br /> <br />'---7'/ fin - /29 __u______. <br />PERMITS REQUESTED ~- <br /> <br />o BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E,C, <br />o PLUMBING 2~ '0 ' e!!- <br />O MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />Q"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 />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br /> <br />STATE CERT OR REGIST * 1~ <br /> <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~~ <br /> <br /> <br />~/T?.. COMPANY. . S',M uJU1"lfJ /'{!.bl' A.-J E <br />A - ~ STATE CERT OR REGIST * 0167S <br /> <br />SIGNATURE <br /> <br />OTHER /)".?};J <br /> <br />SIGNATURE <br />