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<br />,-.. <br /> <br />I I <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />/D-/I) - oS- <br />~ . <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />/'. <br />OWNER'S NAME ()"OI7C/ H~(i201l <br /> <br />JOB ADDRESS 3 751.1 ~ l_,1 Jj f3ec~ lc t 24 '2- <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PHONE <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROl1 PROPERTY. TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY IDWELLING <br />o COMMERCIAL <br /> <br />DMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~BILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WO,RK _ /fIobd(: ;-IOM€ S~-f' Up <br />L(2)(3 I <br /> <br />BUILDING SIZE <br /> <br />SQGARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLiT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SE S OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) S TS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />~- <br />( _;)tJtJ~ <br />~ <br /> <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy [] <br /> <br />W.R.E.C. <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 />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONI<~ AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE {A-)ep. _ ~ ~?7 STATE CERT OR REGIST ~. <br />****************************************************************** <br /> <br />E~ECTRICIAN ~ <br /> <br />SIGNATURE{"A.....J~/?1- Z3 . - ;;p-~" <br /> <br />/!l<'~ .212r--- <br /> <br />STATE CERT OR REGIST # <br /> <br />COMPANY ;-1ce. <br /> <br />***************~************************************************** <br /> <br />PLUMBER ~___ COMPANy!3u-Hc~ del <br /> <br />SIGNATURE ~~ /3~ STATE CERT OR REGIST # <br /> <br />*********~**************'**Y?*"****'**"****'**** <br />MECHANICAL : COMPANY m e_ /J?'~l) ~ D j...q.e- <br /> <br />SIGNATURE~- STATE CERT OR REGIST # <br /> <br /> <br />************************************************* <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />