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<br />CITY OF ZEPHYRHILLS PERMIT APPLICJ~'l'J.U1'4 <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DM~E RECE IVED <br />PHONE CONTACT FOR PERMITTING tfC;J-', ~ ~ <br /> <br />OWNER'S NAME {'f)..q J ~ )-,:C OA- rc.,j Rl c <br />JOB ADDRESS:3Q 5 l ~ C~ LA <br /> <br />PHONE (, q:s.- 999 g- <br />Lof- ;)3/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />Pl\RCEL 10 # <br /> <br />~4 -~(" - cS-/-OQOO- GOiOd <br /> <br />() 0 CJc (OBTAIN FROM PROPERTY TAX NOTICE I <br /> <br />! , <br /> <br />WOR~ PROPSED: ~ CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />[) REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI - FAMIL Y <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 />./.~)c .5<C' <br /> <br />~~~_. <br />GdG <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & 11) 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 />$ /'C:;LYJ" e> C~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy [J <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <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 /> <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/l Dk,,'/~ {'C;),-,~ COMPANY tDXyi'4'o (/c7h~ <br />~ /~~ <br />SIGNATURE J _ /r.,. <- <br />, <br /> <br />STATE CERT OR REGIST # <br /> <br />.- <br /> <br />2 -oIfp..e)" <br />l-I-~ <br />