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<br />I , )i'HONE CONTACT FOR <br />We.\\~ Sl~ (}JJQ\ C.f1")iC~' COIf) . <br />OWNER' S NA~l~1 + SJ-of2-rAm i) u Gr'l II <br />JOB ADDRESS 55) g GflLL f!jv~ '~h~rh'll)5 ~L -: <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 DATE RECEIVED J\ ~ \ \ l~f <br /> <br />PERMITTING ~ ~-I'~ ~ L( <br /> <br />PHONE <br /> <br />?/3--2qg-~~61 <br /> <br />LEGAL DESCRIPTION: LOT IS) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # \ \,.;Jl9-~- WOo if..)/CO {)::;)SO <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <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 <br /> <br />USE: DSGL FAMILY DWELLING <br />~OMMERCIAL <br />~ESTAURANT <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 />& HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />. ,_~ J <br /> <br />remJ\~ ~tirxa- olrLlL) I'lL) -tOJ'lKS ~ 5d'(l-) J 2D up~ ~. <br />SQUARE FOOTAGE HEIGHT <br /> <br />'DESCRIPTION OF WORK <br /> <br />RESIDEt:JTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & II) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & II) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />-~~. <br /> <br />- <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />{;)Db. 0-0 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~>.u..dLr2c9 -k> ~I rr-, <br />i 131107 <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLU~1l3ING <br />o MECHANICAL $ <br />~AS 0 ROOFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />BUILDE:R <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNlI.'I'URE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />. <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER (-)~~*** * * * ***** * * * * * * ** ** * *:~~::;~~~* *Q~ <br /> <br />SIGNATURE -~ ( . ~~ STA'fE CERT OR ~gGIS; f :: <br />