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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhi.lls, FL 3~1542 <br />813-780-0020 FAX: 813-780-0021 , ,/ I Jo~ <br />DATE ,RECE IVED I , <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME JOHN F BJ~ETr .Je PHONE 7g;2-~43 0 <br /> <br />JOB ADDRESS,'39J~4 ~6HT.5' "rfVE,. LdHlJte1N/LL.c;-1 h .~~r~4 2... <br /> <br />LEGAL DESCRIPTION: LOT(S) 2 BLOCK..5 SUBDIVISION~)I/p &G~7S <br /> <br />PARCEL ID # SEt!. /2 J' TtvIJ 2~S . 'J)N G 2/ € (OBTAIN FROM PROPERTY TAX NOTTCF.\ <br />I \~ _ ~~. d. \ _ 0030 _ OD5C)O -ccc;tO <br />WORK PROPSED: ONEW CONSTRUCTION 0 ADDITION DALTERATION 0 REPAIR ~INSTALL <br /> <br />OSIGN 0 MOVE 0 DEMOLISH <br /> <br />PROPOSED USE:p(SGL 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 />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o <br />15 ~7: <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />A-Bt)VEGPodq~ H:nI 4~4 D~1JJl-'7'E?J1!;l5ffeoe <br />J:;' ..I ~i <br />HEIGHT =::.J:t. <br /> <br />SQUARE FOOTAGE <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAB: 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 />1--)0 C <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ ~;S606, bO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />o Progress Energy 0 W.R.E.C. <br /> <br />~~ \1Cu~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION 0. L\. ~ <br />L:~Y'-~ <br />~UL~ <br />p^-o~ <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />AMP SERVICE <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br /> <br />OR REGIST # <br /> <br />ELECTRICIAN ~ ~ <br />SIGNATURE ~~ ~~ <br /> <br />********************************************************** <br /> <br /> <br />1'5,..:':'>C COMPANY ~-U/~ &~C!TlC <br />, STATE CERT OR REGIST # 6C-c:>tJdJ /2-t. g- <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <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 />