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<br />.' <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUlrING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br />, ,1 . \,J!)A,g 'REe~Wn" , <br />~ r'...., A. -/ ~^5:~:.J.li. <br /><.:';' ~ 6.::'. "t~ , c.''''~. <br />PHONE CONTACT FOR PERMITTIlf~\\ l=re~ <br /> <br />, i~'f1 Ices <br /> <br />OWNER'S NAME <br /> <br />o A..IX 4..r I- ~ <br />']'1fJJ mL.! L(!,U <br /> <br />Ihtq/e, <br /> <br />v <br /> <br />/Jrl,e , <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />'17 <br />~y -J.-U -rJ.-/-OOeUJ- ()()O())-OYJO <br />WORK PROPSED: ~NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />P M\U.. O,t.( ~ <br />SUBDIVISION Ik, ~Mm/c /1;/Ak <br />.c.J/ ~(I" <br />(OBTAIN FROM PROPERTY.TAX NOTICE! <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL 10 it <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br /> <br />Of OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />o INDUSTRIAL <br /> <br />DESCRIPTION OF WORK 1'00/11 <br />1'1 I >' /" I <br />BUILDING SIZE Y <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APfROVAL <br />iJLlJ-to~ - ~)(~J/-{~ e ~r f <br /> <br />SQUARE FOOTAGE / f (,1 ' <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ BUILDING <br />~ ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />(jJ <br /> <br />$ <br /> <br />(JJ <br />1.3/ 900. <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />'0 OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />''-ki~l^-(; <br /> <br />STATE CERT OR REGIST it <br /> <br />~ <br /> <br />************************~****:~:;;*** ************~*********** <br /> <br /> <br />ELECTRICIAN '--, 4:;, OMPANY %li7c ,!'/~c-h/C <br />SIGNATURE ~ m. k!J~ ./ STATE CERT OR .kGIST 4 EC-t?&JM{-#' <br /> <br />************************************************ ***************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR ~EGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***********************************~********~******************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />