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<br />II' <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TB St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />~ J:Z'irjo,<; <br /> <br />OWNER'S NAME <br /> <br />(' ,{)Ilf' IS: s:. J n L <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br /> <br />PHONE 3~~ -f) t/J - fJ q qcl <br />, <br /> <br />JOB ADDRESS <br /> <br />PARCEL 10 # <br />WORK PROPSED: ~NEW CONSTRUCTIO <br />OSIGN <br />PROPOSED USE: 0 SGL FAMILY <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />GaOTHER <br /> <br />CJ REST URANT & HEALTH DE ARTMENT APPROVAL .,' /J 17' <br />. 0-' 00/ CvnI!1lt L~"/)15 u ~~~ <br /> <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH S & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS F ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY R QUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />8f) , O/:() <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />P SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />I <br />r- VALUATION OF MECHANCIAL <br />I a OTHER <br />I 0 FRAME <br /> <br />INSTALLATION <br /> <br />* q91V <br /> <br />TYPE OF CONSTRUCTION: 18. BLOCK <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />SIGNATURE <br /> <br /> <br />, C!I'O;R"SECTION <br /> <br />COMPANY' ~C~ ('\c\q.DC',v'e\o\)rl\ef\~ ~. -.Lilt.. <br /> <br /> <br />STATE CERT OR REGIST # c.,l~e... - 0 10 q~3 <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />...................1.............................................. <br /> <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 />MECHANICAL COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />******************* ********************************************* <br /> <br />OTHER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br />