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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 aXH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br />----- . <br />PHONE CONTACT FOR PERMITTING ) ~ I <br /> <br />, 2- -Ilo~ 60 <br />,,~~ <br /> <br />OWNER'S NAME GrQVld HOV\zoY\ PHONE '613 --jg 2- 5-(140 <br />JOB ADDRESS'-r7/t- ~,a.(1 e. A"e,. ,Lot 235 <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />PARCEL 10 # 3t.J-25'-2/-D/70 .noooo- 2350 <br /> <br />IvORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />DALTERATION 0 REPAIR ~NSTALL <br /> <br />DSIGN <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 />~OBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br />DESCRIPTION OF WO,RK . \'YJob,'le hoyvJe., se+-u..p <br />BUILDING SIZE 21 X'1 7 <br /> <br />SQl:JARE FOOTAGE <br /> <br />J'lt.P9 <br /> <br />HEIGHT <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 />tJot.. <br /> <br />v <br />- <br /> <br />d BUILDING <br /> <br />35 000, 6(~ <br />$ , <br /> <br />PERMITS REQUESTED <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 />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLA,TION <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 0 NO <br /> <br /> <br />BUILDER <br />SIGNATURE~7 ZJ~ <br /> <br />COMPANY GU-t-tU <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************,'********* <br /> <br />ELECTRICIAN <br />SIGNATURE 4.)&-P<' '~~ <br /> <br />COMPANyB cf.- <br /> <br />~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY f3u.+1u-/eJcl {}1(-f s <br /> <br />@ <br /> <br />SIGNATURE~~ ~ STATE CERT OR REGIST # <br /> <br />*******************************************~********************** <br />MECHANICAL COMPANY /t c.e €i::J <br /> <br />SIGNATURE <br /> <br />I.J~ ~~Ad1~ <br />o <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************'k******** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNJ.l.TURE <br /> <br />STATE CERT OR REGIST # <br />