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<br />1Cb <br />b~ <br /> <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 GONTACT FOR <br /> <br />DATE RECEIVED 18-/;::)O/os <br />.)~ '" \1.1 <br />PERMITTING Y;\~ IK~ 544D <br />l~N: <173 5d-o 0 <br /> <br />OWNER'S NAME [)11t((1./{! f/Olrrf <br />JOB ADDRESS3t/37 v Or1ar Ille- lJtii <br /> <br />PHONE <br /> <br /> <br /> <br />i-o+:1S B <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />\WRK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />~'NSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <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 />GOTHER <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />OF WO.RK . 5[11. L{ P ~l t-f\/) ucU. J <br />I~A32SQGARE FOOTAGE LJjt-j" <br /> <br />HEIGHT <br /> <br />DESCRIPTION <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS, <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />~ f'.lp c. - <br /> <br />CCi""'HlAc.'T - tJ I A- <br />/lJ'{\ - ,""E'en 12/"2' <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 />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <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 />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br />SIGNATURE~ ~_p---=> <br /> <br />STATE CERT OR REGIST # <br /> <br />E:J;,ECTRICIAN <br />SIGNATURE 4h?",,-./T)~ <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY (J/onda../ J <br /> <br />t) <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY BlAt-II'; 1/ -6/(1_ <br /> <br />riP <br /> <br />SIGNATURE/~-r'- ,is _~~ <br /> <br />STATE CERT OR REGIST # <br /> <br /> <br />MECHANICAL <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *:;.. * * * * * * * * * * * *B* */, * * * * * * * * ,k * * * * * * * * * <br />COMPANY fih<..J <br /> <br />SIGNATURE <br />{\lLQ.d1 lb- a.......0=I1 <br />WCu..(n-'L -f-Q ~'QY' <br />OTHER <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />**~********************************************************* <br />en .1~ f30.lvt.D ~~ <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />