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<br />114 ~/~ <br />~/ <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI'LDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT <br /> <br />b-~7-tJ/ <br />DATE RECEIVED ~ <br />FOR PERMITTING (813) 690 - /885" <br /> <br /> <br /> <br />PHONE 81 ~ - ?t. 9 - 5',;)'1'7 <br /> <br />OI-lNEEt'S NAME fA S' //0 m e <br /> <br />JOB 1nDRESS <br />i <br />LEGA~ DESCRIPTION: LOT(S) <br /> <br />Pl\RCEiL 10 # <br /> <br />WORK PROPSED: )ONEW CONSTRUCTION <br /> <br />OSIGN <br /> <br />SUBDIVISION GIt..npo ~tt'j:. -';wNHot1T~j <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PRO~OSED USE: DSGL FAMILY DWELLING '~~Lft'ilp~i1'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 />I <br />DE8C~IPTION OF WORK <br /> <br />BUILdING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />lowA/fto,"'S rnocle.J~a rti~e. <br />SQUARE FOOTAGE ~ ~'3 HEIGHT 21 I <br /> <br />i <br />RESIdENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COM~ERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF iSIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ BUI4DING <br />o ELE~TRICAL <br />, <br /> <br />o PLU~BING <br /> <br />o ~1EC~ANICAL <br />I <br />o GAS I 0 ROOFING <br /> <br />PERMITS REQUESTED <br /> <br />~~ VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE 00 Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ ~ ~OO. /'"" <br />\ <br />o SPECIALTY <br /> <br />VALUATION OF 'MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />, <br />I <br />TYPE IOF CONSTRUCTION: l3 BLOCK <br />i <br />FINI~HED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />SIGN)jT:RE /;;jfj'. <br />/- <br />/ ****************************************************************** <br /> <br />COMPANY CIS' lI{)m~ (j,1~- LEN/V/l1L <br /> <br />-, <br /> <br />STATE CERT OR REGIST # CB C I ::t 5;), (j :110 <br /> <br /> <br />COMPANY .::Tt3t.. Ct.-~C-"'~I (.. Or: 'M/VIjOl9 <br />. <br /> <br />STATE CERT OR REGIST # [C /300 I B 8 b <br /> <br />*********** ****************************************************** <br /> <br />MEC <br /> <br /> <br />PLUMSER COMPANY fl".'nlll./{. Sell '-E /1'71'/ ~ <br />S IGNA!TURE STATE CERT OR REGIST # ere 0 l/ I? :l.. / <br /> <br />l <br />ICAL <br /> <br />************************************************ <br />COMPANY A -SrEj:J/'II/Iv- 5'01./(; <br /> <br />STATE CERT OR REGIST # C /? COSO <//0 <br /> <br />***************************************************************** <br /> <br />iROO~.., <br />u;; ~/ <br /> <br />COMPANY C. S-ret<t..IN6- <br />STATE CERT'OR REGIST#CC C 0 5199 / <br />