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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATIU~ <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />1/'(05" <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME Cr{1jt1d HOYIZtJY) <br />JOB ADDRESS 2/&08 Lilly f5-f1L Ave <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PHONE <br /> <br />[0-1- 23Cj-2LfO <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />OSIGN <br /> <br />o ADDITION OALTERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />OMULTI-FAMILY 0# OF UNITS ~BILE HOME <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK . --Mll JJ,.Rf -Pf <br />BUILDING SIZE ~J xl.A) 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 CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W,R,E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o 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 />SIGNA;URE ~~ <br /> <br />COMPANY <br /> <br />/3: -/7' ~.-< -- <br /> <br /> <br />****************************************************************** <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN <br />SIGNATURE tJr-Z5~ <br /> <br />COMPANY Ac. ~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY l3IAf-fCJhe/ d <br /> <br />SIGNATUREbd' ~~ ~ -*./ ~_. STATE CERT OR REGIST # <br /> <br />********************************************1*:******************* <br />MECHANICAL COMPANY ~i?-, <br /> <br />SIGNATURE vc?- _ ..(1--~~e-~ <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER b{ ~ <br />SIGNATUR __ _~ ~_ <br />. ~ <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br />