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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIrING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 ,I"I~/.-, <br />,1 DATE RECEIVi:o ~ <br /> <br />PHONE CONTACT FOR ~lJ:N.G- il.... ''''r''~ E ~iC.: <br />~;\S>>,;::U "'... ....l1 ~ ""'t........i~'W~'-i'6 <br /> <br />OWNER'S NAME <br /> <br />/)f1 t/ l! ttl<1 If /G <br />J 5""J I 7(;U1.Ill9- Ii jJ <br /> <br />1 -BG6-8;24:-789t <br />PHONE To~! FreE <br /> <br />JOB ADDRESS <br /> <br />lJ1/w <br /> <br />LEGAL DESCRIPTION: LOT(S) o1~cL BLOCK <br />PARCEL ID # ;;'1 ~ol fr -,)1 - ()() 70 -()Oo()O - rJ~J() <br /> <br />SUBDIVISION ENrti II ALlYe <br />K!P !2.Ndrf j?/) -,) <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Oft OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />c=J RESTAURANT & <br /> <br />,fCu(' /) i'OOfi- <br />. I <br />f 10 I y/() <br /> <br />HEALTH DEPARTMENT APPROVAL <br />!r2 A tL/ 1~J f}tl/~/.) <br /> <br />SQUARE FOOTAGE tJ.()O i <br /> <br />I- <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />10;< Id <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 /> PERMITS REQUESTED <br />~ BUILDING $ tj S-aJ. (J VALUATION OF TOTAL CONSTRUCTION <br />9i ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />o PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <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 AREAD YES 0 NO <br /> <br /> <br />BUILDER <br />SIGNA;URE ~I a ~'- <br /> <br />Jzj(. <br /> <br />COMPANY O&.)/.-P r - [)ti.' if; ; <br /> <br />STATE CERT OR REGIST * <br /> <br />ELECTRICIAN <br /> <br />*************************~~~************************************ <br /> <br />-~ ') l COMPANY tJ4.)JlP'r - /Jti'tl( 'J t u~J( <br /> <br />SIGNATURE <br /> <br />~(Ice ~~ },,-i <br /> <br />, <br />STATE CERT OR REGIST * <br /> <br />************************************************~***************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR ~EGIST # <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />MECHANICAL <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 i <br />