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<br />I Iii <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING: DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 ~ <br />813-780-0020 FAX: 813-780-0021 I~ ;(//O~ <br />DATE RECEIVED . / l <br />:bA\J \ D RU.~--"'L- <br />PHONE CONTACT FOR PERMITTING 3S'Z . '2ldo. \ 3"13 <br /> <br />OWNER'S <br /> <br /> <br />PHONE ~3 .-Z-,q ."333b <br />~ yrz..k;LLS U>r2.-,'IPt3 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # 0 <br /> <br />Zfo ZI 0010 0.::3200 t!::C>'2.C:J <br /> <br />WORK PROPSED: o NEW CONSTRU TION o ADDITION oALTERATION o REPAIR o INSTALL <br /> oSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: oSGL FAMILY DMULTI-FAMILY 0# OF UNITS ~LE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL <br /> OTHER <br /> <br /> <br />& HEALTH DEPARTMENT APPROVAL <br />M.P. ~v..:Y:sQ. 70 LE:. . <br />"zz: 1- HEIGHT S '- D" <br /> <br />DESCRIPTION OF WORK <br />, <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />RESIDENTIAL: ATTACH (2) PL <br />COMMERCIAL: ATTACH (3) SE <br />IF SIGN PERMIT ONLY {2} S <br />PROPERTY SURV <br /> <br />PLANS & {2} SETS OF BUILDING PLANS <br />S OF BUILDING PLANS & {l} SET ENERGY <br />TS OF ENGINEERED PLANS REQUIRED. <br />Y REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& {l} SET ENERGY FORMS. <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />df5"'o/ D <br /> <br />o BUILDING <br /> <br />$ <br /> <br />tv <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~rogress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o ELECTRICAL <br /> <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />""b. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br /> <br />o ROOFING <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOC <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />~HER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES <br /> <br />~ <br /> <br />BUILDER <br /> <br />COMPANyJ. Me. UWiAL0 ~ <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # CC"st..~ D A I ~ ( <br /> <br />************************************************** <br />":> ;'~ '';..;3 <br />7 ,). <br /> <br />ELECTRI <br /> <br /> <br />~ <br /> <br />COMPANY A-ll ~ ,","!oe- €'\e(;;h-: u <br />STATE CERT OR REGIST # ~C DoDn~ <br /> <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COM PAN <br /> <br />STATE CERT OR REGIST # <br />