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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 />c~ Cj((1{OJ <br />DATE RECEIVED )i:/;:clo~ <br />, <br /> <br />OWNER'S NAME ~~ --f{..e, UTO,J III-. ~ <br />JOB ADDRESS 51?~? 0 C;;;A LL 8 Lv cR <br /> <br />PHONE CONTACT FOR PERMITTING '1 ~ 7 -52...l.f -ODE:> v <br />JOh ..J <br /> <br />PHONE g )5-6 5]-~() lft..f <br /> <br />~t. fL~ <br /> <br />'<J Of' <br />, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[JADDITION <br /> <br />)8(ALTERATION <br />[J DEMOLISH <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[JSIGN <br /> <br />[J MOVE <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />~ COMMERCIAL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J # OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />DESCRIPTION OF WORK <br />Kl~' <br />BUILDING SIZE <br /> <br />? r::XJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />//V~ jJy,-u, ~'3'0 ~ hAh 5Vf(l'e..'(;:>ID~ <;'1~ pj <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 />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J <br /> <br />Progress Energy <br /> <br />[J <br /> <br />yo',/ }~ <br />l' f OlJ <br />~ <br />W'R.~~.of <br />11/ <br /> <br />[J BUILDING <br /> <br />$(I)D.~ <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] PLUMBING <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />4f'-l tlf8 <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [] NO <br /> <br /> <br />BUILDER <br /> <br /> <br />COMPANY ~A BAY hA.6 ~" .:::r::;vc . <br /> <br />. STATE CE~OR REGIST # ~)<j{,3000Ds/'?'Yo <br />*-;?:~'i:*:tzr:?P* * * * *{irf**1~ ?~***~~*1:g{t** * H***** *** ;lo ~ t7(J <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 /> <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 />