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<br />7.,0 <br /> <br />.yL- <br /> <br />\'3> "LO <br />~~ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />OWNER' S NAM~t I ;Q~tibp. <br />JOB ADDRESS~LI~L\;)'. 702. ~ve- 8 <br />, <br /> <br />~ ~LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # ~~2J (XJ,O OI1DDOO~ <br /> <br />PHONE CONTACT FOR PERMITTING 7:;'/-)')?]' qq9d ~<l.IV'\ <br /> <br />PHONE fs-L/ ~ tf/3 .Q990 <br />f3~\~a) <br /> <br />SUBDIVISION <br /> <br />(OBTATN FROM PROPERTY TAX NOTTr.EI <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />~DDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~MMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH <br /> <br />rtl SI-t II J/~.t <br /> <br />DEPARTMENT APPROVAL <br /> <br />e l\I S -h:~J\. (;})'Iit. " 11 Vt <br />SQUARE FOOTAGE <br /> <br />al'L <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (I) 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 />lIl'1'UILDING <br /> <br />515"00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~oe.. <br />PW( ck AA <br />?CI-\1 -Sub ~ . <br />_ \)( \ ("\ \- Ce--'J,-.c.;.. try l.l C. <br /> <br />PERMITS REQUESTED <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 />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <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 AREAD YES <br /> <br />o NO <br /> <br />SIGNATURE <br /> <br />~oi3 <br /> <br /> <br />COMPANY Hqr rI S Cr- ~ F . <br />~TATE CERT OR REGIST # CGCt"J')5~Lf'-f <br /> <br />y <br /> <br />t{b~V <br /> <br />BUILDER <br /> <br />****************************************************~***~*****A*** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />-, <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************k* <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <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 />