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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 RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAMEC~ u:FZ*--:vLLC1s. <br /> <br />JOB ADDRESS 364- (0 lJ V\uE <br /> <br />PHONE 1 eo ~CO 'I I <br /> <br />~ <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 />[J SIGN <br /> <br />[JADDITION <br /> <br />PALTERATION <br />[J DEMOLISH <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[J MOVE <br /> <br />PROPOSED USE: 0 SGL FAMILY DWELLING <br />~OMMERCIAL <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 /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />,<\~ L-l~ e~~€-c <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />o BUILDING <br />~LECTRICAL <br /> <br />41' t'~ <br />$ 15:000 <br />, <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br />~ PM Cl4-bl _vc:-~ $ <br />_ ,v~vJ tAP?C. Ct ~C C S <br />_ ,1J~Q) ~ ~u.. v~ s. <br />MSvJ !-he 'p / >'-1 fvtiS5 (C" 1/ <br />VALUATION OF TOTAL CONSTRUCTION <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 />AMP SERVICE <br /> <br />[J <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />~LUMBING <br />[J MECHANICAL $ <br />~S [J ROOFING [J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: !lJ-"13LOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />[J 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 /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST <br /> <br /># !r/~ L'5ta 15 J P <br /> <br />****************************************************************** <br /> <br />PLUMBER ~ ~ <br />SIGNATURE .6 " ~_. <br /> <br />COMPAN~l~ eeLif' ~J.-'V' <br /> <br />STATE CERT OR REGIST # CP-/5'-2.~W2-.. <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br /> <br />****************1************************************************* <br /> <br /> <br />~ COMPAN8~v.v-,~-h"fl.<< <br />STATE CERT OR REGIST # 5""'k'")~~ooO ;2CJoU <br />/ <br />