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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 />DATE RECEIVED <br /> <br />8; 2 L- <br /> <br />OWNER'S NAME (;'.ea/"re.. Jone...s <br />JOB ADDRESS 50,-/ ;;;L&'+h 5+r~t:....1 <br />LEGAL DESCRIPTION: LOT(S) It} /Zo <br />. <br /> <br />PHONE CONTACT FOR PERMITTING <br />(!.e II ?/3 <br /> <br />PHONE S'1..s <br /> <br />,;2 D,j- o3J?? <br />'7r.f3 -?Io~s <br /> <br />..., <br />. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />~ REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />D <br /> <br />RESTAURANT & HEAl.TH DEPARTMENT APPROVAL ' , ULJ ~/1 - j} ~ <br />/.Je.W T~..tt5 {5/171=-5 - , O~ <br />/3cc/1. rph-vo. 1-<., kl.~,..., - J- Ele..( , <br />f~~ p~ N-evl die} <br />SQUARE FOOTAGE 1 go HEIGHT r fo iT <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />BUILDING SIZE <br /> <br />~UILDING <br />~LECTRICAL <br />~UMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br />6.l;~/IU~\.. JN~~f1'J <br /> <br />)i~l C ~'fL+ C~Jn)- <br /> <br />PERMITS REQUESTED 2'~~(;.2 b~ rrbl~Y1'L <br />6\..}iLlY' lL (~) L <br />VALUATION OF TOTAL CONSTRUCTION' ) <br />(6-fLl b,-LC, <br />AMP SERVICE 0 Progress Energy 0 W.R.~.C. <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 />$ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />j,ksrr '5 )~LL 11;.rJ:f- <br />) 4AtlJ ~h Li-ly?) <br />INSTALLATIOfJ . '(. <br />D'^-' 'S J?\,.)Cl..)/.J , <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 />BUlillER ~ <br />SIGNATURE" ~ <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN ~ <br />SIGNATURE ,,- r <br /> <br />****************************************************************** <br />._~.) <br /> <br />'?"")< <br /> <br />COMPANY <br /> <br />~~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />th ,1') >" :::::N:ERT OR R~ ~ <br />/~~ ' <br /> <br /> <br />****************************************************************** <br /> <br />PLUMBER <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 />