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<br />OWNER'S NAME <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 cr /\]) S <br />DATE RECE IVED ~ I c> <br /> <br />PHONE CONTACT FOR PERMITTING I (.:(f C J,/)~ W I c- <br />"8' 13 9t V "3,l. 35 c(/) <br /> <br />PHONE ."8 I ~ cr ~c:::::> ~ 7 l: .:} <br /> <br />JOB ADDRESS <br /> <br />~-'\J Ch4.s~./ oS ;.1".. \. I.,.) , <br />b"Z'/b C~'I. /S ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # 0 2 2. ~ 2 I 0 0 I a CJ 2400 t?o 2.0(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />oALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />r2f1rrGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: oSGL FAMILY DWELLING oMULTI-FAMILY 0# OF UNITS 0 MOBILE HOME <br /> <br />rtrcOMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL 0 OTHER <br /> <br />D RESTAURANT & H~H DEPAI\.TM}!lllJ..NP~~L,~,../) weMf tA::;,;:i'- 'i~/~~ <br />YV\~r<v;'V\FN...I/ b.,.t'~'0t'J p 17f~"""'J' ',",' Ir't,~ <br />DESCRIPTION OF WORK t:; rE- <-1. fa 1< S I (J-..N - Cc..y,...J~C~ -tD 2\ (-stf-v (. c.(~c u. t <br /> <br />BUILDING SIZE SQUARE FOOTAGE 100 HEIGHT 2 S .. s v <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 />o BUILDING <br /> <br />$ <br /> <br />p~ <br /> <br />PERMITS REQUESTED \fr~ fir! CJL <br />2...,3 '? '7 ~ VALUATION OF TOTAL CONSTRUCTION 0,/'1/\::))- <br />AMP SERVICE 0 Progress Energy 0 W.R.E.C. {?~ <br /> <br />o ELECTRICAL <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 />IS PROJECT IN FLOOD ZONE AREAo YES 0 NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />(,15'.0 COMPANY UE'-S"t c..~~~ S(6~S <br />STATE CERT OR REGIST # €: > c:)~Oc:> '7 <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />*****************************~~;>********************************** <br /> <br />~'S, <br /> <br />SIGNATURE <br /> <br />c:=:::::;.- ~ ~ <br /> <br />COMPANY G.) 60S' 7 C6.".JT/.(,tJ I oS I ~<" <br />STATE CERT OR REGIST # ,C;S:6odoa'6,7 <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <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 />