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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUnnING DEPARTMENT 5335 8'lH st, Zephyrhills, Fl. 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />, 1 <br />4,l\ <br /> <br />OWNER'S NAME fA S' I/o m G <br /> <br />DATE RECEIVED <br /> <br />&>;27-()~ <br /> <br />PHONE C:;ONTACT FOR PERMITTING (8/3) e90 -18 8...s- <br /> <br /> <br />PHONE 81 ~ - ? (, 9 - 5'.;)'} r; <br />'" <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 10 # 03.2-\0' 2'- <br />WORK PROPSED: }l;fNEW CONSTRUCTION <br />OSIGN <br /> <br />SUBDIVISION G,t.;.,po ~tt'k. "";'UlvHo,.,,~j <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />'l"ili 'Tow,'JHo,"",!\lE.:s <br />PROPOSED USE: DSGL FAMILY DWELLING JoL-"MYL'ff PMlIL'f <br />o COMMERCIAL 0 INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />"0 w;vltom~S (Y1octe..f IYJar.f-1o l"lb11e., <br /> <br />SQUARE FOOTAGE .J (ok3 HEIGHT;;1.( · <br /> <br />DESCRIPTION OF WORK <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 />~L <br /> <br />- <br /> <br />~ BUILDING <br /> <br />PERMITS REQUESTED <br />,~, I ro. ce. VALUATION OF TOTAL CONSTRUCTION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br /> AMP SERVICE iii Progress Energy 0 W.R.E.C. <br />$ "3 300. /" VALUATION OF 'MECHANCIAL INSTALLATION <br />\ <br /> o SPECIALTY 0 OTHER <br /> <br />o ELECTRICAL <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />TYPE OF CONSTRUCTION: at 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 />COMPANY tiS lIom~ eJ,l'cf'-LEN/V/I/l- <br />STATE CERT OR REGIST # CB C I ;; 5 ~ </ ;; '=> <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN_~ ~_ / COMPANY .:Tee Cl-€c,,-"" l- 01' 7,1"'1"-9 <br />SIGNATURE ~ ~ STATE CERT OR REGIST i EC /3001 B 8 b <br />****************************************************************** <br /> <br />PLUMBER <br /> <br /> <br />COMPANY Ili<fl-lr//!.. SC#L€P7I'J~ <br />STATE CERT OR REGIST # ere 0 l.J / ? ;:(, / <br /> <br />MECHANI <br /> <br /> <br />****************************************************************** <br />COMPANY A SrE~;J'ltVc:- Sr01/'F <br /> <br />STATE CERT OR REGIST # C rJ CoSo 1.//0 <br /> <br />***************************************************************** <br /> <br />OTHER r<o~ ~ <br />SIGNATURE ~ m /- <br />./' <br /> <br />COMPANY C. S-r(3rt.i-/A/6- <br />STATE CERT' OR REGIST it C ceo 5199 / <br />