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<br />'. <br /> <br />J,I' <br />eI OF ZEPHYRBILLS PERMIT APPLICATION <br />BUI rNG DEPARTMENT 5335 aft St, Z~hyrhill., rL 33542 <br />, 813-780-0020 F.AX:813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT roR PERMITTING <br /> <br />OWNER'S NAME Pizza HJt <br />JOB ADDRESS 6548 Gal~ Blvd.. <br /> <br />PHONE <br /> <br />Zephyrhills. FL 33542 <br /> <br />LEGAL DESCRIPTION: LOT (sj) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 * <br /> <br /> <br />WORK PROPSED: ONEW CONS RUCTION <br /> <br />o ADDITION <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />PROPOSED USE: OSGL FAMI Y DWELLING <br />~OMMERCI L <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Oli OF UNITS <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORlt <br /> <br /> <br />HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />RESIDENTIAL: ATTACH (2) <br />COMMERCIAL: ATTACH (3) <br />IF SIGN PERMIT ONLY (2 <br />PROPERTY S <br /> <br />PLOT PLANS & (2) SETS OF BUILDING PLANS <br />SETS OF BUILDING PLANS & (1) SET ENERGY <br />SETS OF ENGINEERED PLANS REQUIRED. <br />RVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />PERMITS REQUESTED <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 0 <br /> <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPE IALTY <br /> <br />:gJ OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 LOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />-'~ <br /> <br />FINISHED FLOOR ELEVATION <br /> <br />CONTRAc'roaJ"'S&C'1'ION <br /> <br />BUILDER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST Ii <br /> <br />*********** *~************+*************************************** <br /> <br />ELECTRICIAN COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST t <br /> <br />*************~**************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST Ii <br /> <br />****************************************************************** <br /> <br />MECHANICAL COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST Ii <br /> <br /> <br />*********** *t*************************************************~.* <br /> <br />/O~3(85 <br /> <br />813-788-7641 <br /> <br />XXINSTALL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />HEIGHT <br /> <br />(~~~ <br />CsJi-']\ if J^ <br />I )-=' / ~J1- <br /> <br />W.R.E.C. <br /> <br />~,- <br /> <br />fz., .,-<:, <br /> <br />OTHER COMPANY Hm Wi 11 jams H'ence Company <br /> <br /> <br />SIGNATURE STATE CERT OR REGIST Ii GSP 92-1026'5 <br /> <br />N~~'M l')('i <br /> <br />?1J~' ~~::.Z?- <br /> <br />D"''$? <br /> <br />---- <br />...---- <br />