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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 DJ J <br />DATE RECE IVED () 0 S- <br />I I <br />~ -----... <br />PHONE CONTACT FOR PERMIt:-ING (5/.1 7J';J. -1!.l!-.../ <br /> <br />OWNER'S NAME >'h t:::-I'" r V ......r...... J' X <br />. <br /> <br />JOB ADDRESS S-R S 0 C if L L !l Lv/) <br /> <br />PHONE 'f /] ?:? 3 ;;J 044 <br /> <br />~ <br />, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[JSIGN <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />INSTALL <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />~MERCIAL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />0# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />~r() ~A-""e- TJ4-,.Jk ft~d <br />I , <br />SQUARE FOOTAGE <br /> <br />7" A~~e- <br /> <br />DESCRIPTION OF WORK r~ ( J"A-L L. <br />- <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 />[J BUILDING <br /> <br />$ <br /> <br />~ <br />12 #~-5" , <br />ty~~~ '10. v'" ~ <br /> <br />PERMITS REQUESTED r..w- ~f)~O') : <br />~( -4 I / <br />VALUATION OF TOTAL CONSTRUCTION -rO r /1 <br /> <br />[J Progress Energy 0 "'-.'--w:-ri~. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />o J S- .!252- <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[J OTHER <br /> <br />~ GAS [J ROOFING [J SPECIALTY <br />TYPE OF CONSTRUCTION: ~OCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />/ <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [] 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 />, <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br /> <br />***************************************************************** <br /> <br />OTHER G-4~r~~ <br />SIGNATURE . ..t1 ~ <br /> <br />COMPAN <br /> <br />STATE CERT OR REGIST # ().5~J <br />