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<br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI;LDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 ,;' -::J.9-iJ/ <br />DATE RECEIVED ~ . - ~ <br /> <br />PHONE c;ONTACT FOR PE~ITTING (8/3) g90 -/8 8j <br /> <br />JOB ADDRE SS <br /> <br />CeM;'O~- Ie;;; <br />.~ J~).e ~_~ <br />J.3Q BLOCK 0 <br />-Cf:jXf)-" 23 q D <br /> <br />PHONE 81~ - ?~9 - 5",,;;J'7'7 <br /> <br />OWNER'S NAME fA S /lome <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL ID # 03' 2b-21'" <br /> <br />SUBDIVISION G,LH"O /J/l'J:. ~~"NHot11!;j <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />WORK PROPSED: )ONEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />. t'5d 'To W,oJH o{n E,s <br />PROPOSED USE: OSGL FAMILY DWELLING PMUl.'i'i PMlILY <br /> <br />o COMMERCIAL 0 INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />"0 w,V/tomES rnode~ . ~f- Cro't't <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE ~ <br /> <br />HEIGHT <br /> <br />~, . <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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />~ Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />$ 3\3tV..- <br /> <br />o SPECIALTY <br /> <br />VALUATION OF'MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: II 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 D NO <br /> <br /> <br />COMPANY tiS lIom~ (~,~-LEN/V/I/l- <br />STATE CERT OR REGIST # CBcl:)$;;J.t.!:J.(a <br /> <br />****************************************************************** <br /> <br />COMPANY .:Ti3C CG€C""'~/" Or: /;,.mf7~ <br />. <br /> <br />STATE CERT OR REGIS'r # EC /300/ B 8 b <br /> <br />************** *************************************'k************ <br /> <br /> <br /> <br />~' <br />PLUMBER ./ <br />SIGNATURE C; y . ~ <br />./ <br /> <br />COMPANY Ili<fl-lc/,tt, S'cIILE/l'7I'J,J <br />STATE CERT OR REGIST # ere 0 l.J/?;Z / <br /> <br />SIGNATURE <br /> <br /> <br />********************************************** <br />COMPANY A StEP/III/6- STOI/F <br /> <br />STATE CERT OR REGIST # C r; COSO '-110 <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />:::::TUR;<~~ <br /> <br />COMPANY C. S..,e-I<I-.Ilt/6- <br />STATE CERT' OR REGISTi CC e... 0 5199 / <br />