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<br />I I <br /> <br />hJ~ LI. 92 L/ t <br />/ ~ 0 )l~ '3);mb <br />.9~O <br /> <br />OWNER'S NAME If/ cl/(Ji/l1!t/Jp ()5A <br />JOB ADDRESsIi:J4t- (6/f11 t3(t-Z7. <br />I <br />, <br />I <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 F~~8_:-=_~~8~-0021 DATE RECEIVED 1- /(p.05 <br /> <br />':!Il)IlE_ CONTACT FOR_PE~~ 3 gcx;(.2S1 <br /> <br />----- <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: ONEW o ADDITION OALTERATION o REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br /> i <br />PROPOSED USE: oSGL FAMILY Dw!ELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> I <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL XOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />STAURANT <br /> <br />!lEI2If/ /7 <br /> <br /> <br />DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />o BUILDING $ VALUATION OF <br />o ELECTRICAL AMP SERVICE 0 <br />o PLUMBING 00 <br />~ECHANICAL $ /~(JOD VALUATION OF <br />o GAS o ROOFING o SPECIALTY: 0 OTHER <br /> <br />RESIDENTIAL: ATTACH (2) PLOTI PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. . 1-6 <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ~ <br />PROPERTY SURVEY I REQUIRED FOR ALL NEW CONSTRUCTION. ;1 J _ '1 oJ <br /> <br /> <br />r;~ 1: 1( ~'i <br /> <br /> <br />Progress Energy 0 ~~ <br /> <br /> <br />MECHANCIAL INSTAL~~ <br /> <br />PERMITS REQUESTED <br /> <br /> <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />J Iv 5 <br /> <br />, C'V <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 />BUILDER <br /> <br />COMPANY <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />*********t*********************************** <br /> <br />------ <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />CERT OR REGIST # <br /> <br />PLUMBER <br /> <br />STATE CERT <br /> <br /> <br />******************************~~~;~~;ui/j;;*/;*sitt,*,;;**Z/;~ cl ~/( I It-<- <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 />