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<br />" tl <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICAT.lU~ ~ ) <br />BUILDING DEP NT 5335 8TH st, Zephyrhills, FL 33542 .' bel V;J. <br />8 3-780-0020 FAX: 813-780-0021 DATE RECEIVED. /0-;:2)/....$ <br /> <br />PHONE CONTACT FOR PERMITTING ?/S4 tj 5 - 999}. <br /> <br />OWNER'S NAME <br /> <br />lj..}, II ,ct,."., <br /> <br />'q /1.../-.<' n <br /> <br />PHONE <br /> <br />J;...., <br /> <br />JOB ADDRESS <br /> <br /> <br />3 ~ I cvz,.<. <br /> <br />2-( ~ <br /> <br />/. '//5" <br /> <br />A. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />l- -;)&-2 j- 000- c>~'jot.- <br /> <br />00 <br /> <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />IQ--1rom:TION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />OSIGN <br />PROPOSED USE: OSGL FAMILY <br />o COMMERCIAL <br /> <br />DWELLI~G <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 />DESCRIPTION OF WORK <br /> <br />c=J RESTA RANT & HEALTH DEPARTMENT APPROVAL <br />/6t10 <br /> <br /> <br />b"'~c? ~~ <br />~~i <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HE:IGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PL <br />COMMERCIAL: ATTACH (3) SETS OF <br />IF SIGN PERMIT ONLY (2) SETS 0 <br />PROPERTY SURVEY RE <br /> <br />NS & (2) SETS OF BUILDING PLANS <br />BUILDING PLANS & (1) SET ENERGY <br />ENGINEERED PLANS REQUIRED. <br />UIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET <br />FORMS. <br /> <br /> <br />o BUILDING <br /> <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />I <br />A~P SERVICE <br /> <br />o Progress Energy 0 <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br />I 0 FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE ARE:AO Y <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 />******************* ********************************************* <br /> <br />PLUMBER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />******************* ********************************************* <br /> <br />MECHANICAL COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />OTHER <br /> <br /> <br />******************* ********************************************f <br /> <br /> <br />COMPANY ~)-cI'/lc r~ <br /> <br />. <br />STATE CERT OR REGIST <br /> <br />#~X() etJ. OCr <br />~ C.,.1 <br />'-Z..R r <br />