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<br />1'111 <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 />PHONE CONTACT FOR <br /> <br />DATE RECEIVED lQ1J.olOS- <br />PERMITTING ~~t .QC'll1 \ <br /> <br />OWNER'S NAME <br /> <br />George & <br /> <br />I <br />I <br />I <br />I <br />I <br />T.Jipda <br /> <br />PHONE <br /> <br />Ellis <br />Zephyrhills, FL 33542 <br /> <br />JOB ADDRESS 5200 8th stree <br /> <br />o SIGN <br /> <br /> <br />BLOCK SUBDIVISION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL 10 # <br /> <br />11 26 21 00118300 0180 <br /> <br />WORK PROPSED: oNEW CONSTRUC <br /> <br />o ADDITION <br /> <br />I?9ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE:~SGL FAMILY <br />o COMMERCIAL <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 />c=J ~STAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />service to 150 amps overhead <br /> <br />DESCRIPTION OF WORK <br /> <br />Upgr <br /> <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PL <br />COMMERCIAL: ATTACH (3) SE <br />IF SIGN PERMIT ONLY (2) S <br />PROPERTY SURV <br /> <br />t PLANS & (2) SETS OF BUILDING PLANS <br />$ OF BUILDING PLANS & (1) SET ENERGY <br />ts OF ENGINEERED PLANS REQUIRED. <br />Y REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />o GAS <br /> <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o BUILDING <br /> <br />6a ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />150 <br /> <br />AMP SERVICE <br /> <br />~ Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o ROOFING <br /> <br />o SPECI <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BL <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 />COMPANY <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br /> <br />***************************************************** <br /> <br />COMPANY Reese Electrical, Inc. <br /> <br />ELECTRICIAN <br /> <br />STATE CERT OR REGIST # EC1 3001 353 <br /> <br />, <br />************~***************************************************** <br /> <br />COMPANY <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />*************~**************************************************** <br /> <br />COMPANY <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />*********** ~**************************************************** <br /> <br />I <br />1 <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER <br /> <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />