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<br />CITY dJ ZEPHYRHILLS PERMIT APPLICAT~UN <br />BUILDING DEPARTMENT 5335 8TH stf Zephyrhillsf FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />IO-h-OS <br /> <br />PHONE CONTACT FOR PERMITTING {-<:6Io'- CJJ..4-1W'f <br /> <br />OWNERf S NAME :JO.n'les kJJi) <br />JOB ADDRESS ~q <C; I :J )?-Hl. Av k.-V1 uL <br />LEGAL DESCRIPTION: LOT(S) ~~ BLOCK <br />PARCEL 10 # IJ~;).Io-;}J-03ID()-(j{J6{J{j--()foIO <br /> <br />PHONE <br /> <br />SUBDIVISION Sun~+ {;;fztk <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />WORK PROPSED: ~NEW CONSTRUqTION <br />DSIGN <br />USE: ~GL FAMILY <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED <br /> <br />OWELLING <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />5: q (ee-n <br />dO 'I /21 <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />rl)D m 't-- CDn C r * .5) 0.-6 <br />SQUARE FOOTAGE eJ.j-lo i/J 'f z.:;/~ HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PLqT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SE1s OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) S~TS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURV~Y REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />(0 (j.~dl. ...~.:,. <br /> <br />PERMITS REQUESTED <br /> <br />~BUILDING <br />~ ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br /><5'~'~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <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 BLOdK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES A NO <br /> <br /> <br />I j i:tiL, _ q:l'~OMPANY'-:~ h ( :s <br />cx1fd~/"F(J~ STATE CERT OR REGIST * <br /> <br /> <br />*** **** ***** ***!** ** ** * * * ** *~ ** * ** ~***** * ** * *** ** ***-1<.****** ***** . <br /> <br /> <br />ELECTRICIAN II j, lu , I Li,( P... ~ ~,;:'J?f; ,COMPANY ~. T eo. (' ~ h [; lecfo G <br />SIGNATURE STATE CERT OR REGIST # <br /> <br /> <br />*******************)f*************;t****************************** <br /> <br /> <br />: 1-.--t;::' ~~~OMPANY <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />I <br />I <br /> <br />***************~************************************************** <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />************** <br /> <br />************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />