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<br /> <br />J./~ <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 />DATE RECEIVED <br /> <br />b - {;} 9 ,- iJ(:; <br /> <br />PHONE CONTACT FOR PERMITTING (8/3) 690 -1885'"' <br /> <br />, S NAME fA S /10 me' <br /> <br /> <br />PHONE 81 ~ - 7(" 9 - 5".;)'1 '7 <br /> <br />JOB DRESS <br /> <br />LEGA~ DESCRIPTION: <br /> <br />PARC$ 10 # <br />I <br />WORKI.PROPSED' )i:fNEW CONSTRUCTION <br /> <br />. OSIGN <br />i <br />PRO~SED USE: OSGL FAMILY DWELLING <br /> <br />SUBDIVISION r;"..i9"o ~tt.'j:.. "";~UNHOt71~J <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />o COMMERC IAL <br /> <br />'l"5d 'TO,,-,'hlo,">Ic-5 <br />,.......#UL'fI FMlILY <br /> <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM <br />o OTHER <br /> <br /> <br />IPTION OF WORK <br /> <br />CJ RESTAURANT <br />'/0 wiv/tom€! <br /> <br />& HEALTH DEPARTMENT APPROVAL , <br /> <br />fYlo4eJ Sl~-m- KeAj <br /> <br />SQUARE FOOTAGE J lolo 3 HEIGHT 2.1 <br /> <br />BUIL ING SIZE <br /> <br />RESI ENTIAL: 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 SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />I <br />~ BUI~DING <br />o ELE~TRICAL <br />o PLU~BING <br />o MEc11ANICAL $ 3\ ~Od.""-- <br />o GAS. 0 ROOFING 0 SPECIALTY <br />TYPE !OF CONSTRUCTION: OJ BLOCK <br /> <br />PERMITS REQUESTED <br />~ a (lj "10fl l!!.... l!!.... <br />$~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~ Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />VALUATION OF 'MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />&i/- <br />::RE . / ; .. . <br /> <br /> <br />I /?' .. <br />I <br />I <br />I <br /> <br />COMPANY tt S /lome Cf,1~- LENIV/I(L. <br />STATE CERT OR REGI ST # CB C I :? 5;), </ ;) to <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY .::TI3C Ct.-t;;:C-r~1 G (J~ ;;"m~'9 <br />. <br /> <br />STATE CERT OR REGIST # EC /300 I B 8 b <br /> <br />ELEC'llRICIAN <br /> <br />************* <br /> <br />*************************************************** <br /> <br />l?L~ER <br />S IGmhURE <br /> <br />COMPANY 1/1<:{11(/,1. SC-HLEH7I'J~ <br />STATE CERT OR REGIST # ere 0 l./ / ? ;< / <br /> <br />i ~ ~******* ~******************************************************** <br />ME CHliNI CAL ~/;/;J d _ COMPANY A St'EjO/'llVv- $rol/(F <br /> <br />SIGN1TUfr ~. STATE CERT OR REGIST * CI?COSO ,//0 <br /> <br />I ***************************************************************** <br /> <br />OTHE' I<OO~ COMPANY C. S-rei<L!A/(;- <br /> <br />SIGN~TUR~_ __ STATE CERT' OR REGIST t Ccc..05?99/ <br />