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<br />1 Ii <br /> <br />CITY OF ZEPRYRRILLS PERMIT APPLICATION <br />BUILDING PEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />10-If-v> <br />, <br /> <br />OWNER'S NAM~~ <br /> <br />7-?V-ft <br /> <br />~// <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />JOB ADDRESS Ses <br /> <br />d~L <br />, /t/O <br /> <br />PHONE J'l.7-2~ ?-/ Z/,y- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />// 2~ 2/ 00/009900 <br /> <br /> <br /> <br />o SIGN <br />PROPOSED USE: OSGL FAMILY <br />~ COMMERCIAL <br /> <br /> <br />o ADDITION <br /> <br />SALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />S!TAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />I'? <br /> <br />C ~"rA../,fh <br /> <br />&/,;'V'I-( <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT <br />COMMERCIAL: ATTACH (3) SETS <br />IF SIGN PERMIT ONLY (2) SET <br />PROPERTY SURVEY <br /> <br />o BUILDING <br /> <br />$ <br /> <br />WLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />OF ENGINEERED PLANS REQUIRED. ~ <br />REQUIRED FOR ALL NEW CONSTRUCTION. ~ <br /> <br /> <br />PERMITS REQUESTED ~~ <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />~ MECHANICAL <br /> <br />$ <br /> <br />7'7& <br /> <br />",0 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALT <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 ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />**************** ************************************************* <br /> <br />ELECTRICIAN COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />**************** *'k*********************************************** <br /> <br />PLUMBER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br /> <br />*************************************************************}7*!5 J/ ~ ,/ I <br />COMPANY &n-~/?& L.t4nf-p-r7 /TEe; fr1fcdtr <br /> <br />r~ STATE CERT OR REGIST it R~oO 6.70'.)-;.( <br /> <br /> <br />MECHANICAL <br /> <br />**************** *********************************************** <br /> <br />OTHER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br />