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<br />CITY IdF ZEPHYRHILLS PERMIT APPLIC,j1\'l'l.U~ <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FI.. 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />~h7h5- <br /> <br />, I <br /> <br />OWNER'S NAME tZ.-s#Lh1 ($t"W<"'/~.;J <br />JOB ADDRESS "~d-5Y ~ ~sP. <br /> <br />PHONE CONTACT FOR PERMITTING )J~AJM/~~ d <br />9t(1"~ ~E. 7:55 ~ <br /> <br />PHONE ff?3 - ?R2 - )R.c;L/ <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: oNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />oALTERATION <br /> <br />[J REPAIR <br /> <br />%INSTALL <br /> <br />oSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: oSGL FAMILY DWELLING <br />o COMMERCIAL <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 />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK.:J;vS'~ ~17'~r/p~d.."'cI' ;::;~ ~ ~/~"'S"-;;"/'cPA) ~ /~ $,,;)~c.-,d <br />BUILDING SIZE SQUARE FOOTAGE 36 V HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <br /> <br />6oF~ <br />1)t/ .~ l'r . <br />~O ,\> <br />~~. <br />l' 7}:p 'p. ' t? <br />\ .... CJ . <br />1'.n' 50 <br />W . R . . f!i:/ . <br />~ <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />3;;tJo- <br /> <br />~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />~ OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER 0; ~ ~ it; <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 />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 />SIGNATURE <br /> <br />*******************************************~~*****~*~*******:****~ <br />COMPANY /Z&./~ /-/ re--;''i:a 1 ~ ~ ""'v <br /> <br />STATE CERT OR REGIST # .:x~Z;;~-~~O~m <br /> <br />MECHANICAL <br /> <br />***************************************************************** ~ <br /> <br /> <br />OTHER hP'e f//2t!f.cJ{;:'-' COHPANvl!jJe/L j::/(~ ,~~-- <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST #_:3.3~ ~7 ,Ian /;)-00 .:s <br />