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<br />OWNER'S NAME <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIrING DEPARTMENT 5335 8u st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br />, J DATE RECEIVED <br /> <br />PHONE CONTACT ~.~~~t~~~_d" ~:L.. <br />1-8136-824-7:894 <br />C/e n IVOO cI ~/ /It /)1(}/lJ PHONE To!! free, <br /> <br />3:;-61-7 Tdtlr;rz ~ j;IJ( 111 /~ <br /> <br />'!4:IDV <br /> <br />,.~CE <br /> <br />JOB ADDRESS <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM <br /> <br />.E~hlcI //;/~{ <br />,t.p ;U~{}/'-f P/}-0 <br />PROPERTY.TAX NOTICE) <br /> <br />LEGAL DESCRIPTION: LOT (S) J&/ <br />cJ V-c)t, - J/- 007(}~()OOOd-~/O <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: ~~EW CONSTRUCTION <br />o SIGN <br /> <br />PROPOSED USE:pgSGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Of OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br />BUILDING SIZE 10;< /0 <br /> <br />,S" C'/UR A- <br />-f /0 X/O <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />/ tl /l6.-.{ yj-k/J~t~:^ <br /> <br />SQUARE FOOTAGE ol()()',~ <br /> <br />roO/iL <br /> <br />I <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 />f/J.: BUILDING $ &, . ()(X) ,'3J VALUATION OF TOTAL CONSTRUCTION <br />'fj. 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 AREAO YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY tJcviPr - f-{P/} A.J()():/ tJ/fJf./flO/JJ <br /> <br />SIGNATURE <br /> <br />~rllit,-H( <br /> <br />STATE CERT OR REGIST f <br /> <br />ELECTRICIAN <br /> <br />****************************~*********************************** <br /> <br />0-)~ COMPANY otUMr- ?t/ltVOdd tSL~/JLt!M <br /> <br />SIGNATURE <br /> <br />L.s-itl t____ (~/L <br /> <br />. ' <br />STATE CERT OR REGIST f <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 t <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br />