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<br />i <br /> <br />1 Ii: <br /> <br />CITY or ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 . /1 ~ <br />DATE RECEIVED /(J.... / ~o? <br /> <br />I <br />t' ..-- I J <br />OWNER'S NAMEJ6'-"V 71/?'C/H I ~<"""') G- <br />JOB ADDRESS 7<3.fCl c;:../?/, 6' I t./.? <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PHONE )'l:l ?6? /2/ ..:> <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL ID #JS 2 S .2 / <br /> <br />PROPOSED USE: OSGL FAMILY <br />~COMMERCIAL <br /> <br /> <br />BLOCK SUBDIVISION <br /> <br />V 7;:< e::'O &/00 0 <br /> <br /> <br />WORK PROPSED: ONEW CONSTRUC <br />DSIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />MALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <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 />DESCRIPTION OF WORK t:l?. <br /> <br />R STAURANT & HEALTH DEPARTMENT APPROVAL <br />/f,y 17/?-~/b <br /> <br />BUILDING SIZE <br /> <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 />PLANS & (2) SETS OF BUILDING PLANS <br />bF BUILDING PLANS & (1) SET ENERGY <br />10F ENGINEERED PLANS REQUIRED. <br />REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF <br /> <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br /> <br /> <br />SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />~ MECHANICAL <br /> <br />$ <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 AREAD YES 0 NO <br /> <br />BUILDER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />* * * * * * * * * * * * * * * * *1* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * <br /> <br />ELECTRICIAN COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />**************** ****************************************.********* <br /> <br />PLUMBER COMPANY <br /> <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />**********************************~~~;~~~*~~~~***~*~~ ~~1~7 <br />~ ',~ <br /> <br />STATE CERT OR REGIST # <br /> <br />I? tfC?'C)G' ?O 0 ;( <br /> <br />MECHANICAL <br /> <br />**************** *********************************************** <br /> <br /> <br />OTHER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br />