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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION 1'lqO~ <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 )'-18-08 <br />DATE RECEIVED. <br /> <br />PHONE CONTACT FOR PERMITTING 7f:? -1(1'/2.- <br /> <br />OWNER'S NAME 13-6/TV UJIf-K..~ <br /> <br />JOB ADDRESS 0 'ftr2.- oee;.NTu.Joof) UfC.... <br /> <br />LEGAL DESCRIPTION: LOT(S) ~ BLOCK j) <br /> <br />PHONE <br /> <br />-'-;'63-0039 <br /> <br />;:5 i L \) l?TC..' OAt:. S <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # 04-~ Z4 - 2-1- 0030-00/)00., on31llOBTAIN <br />WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION ~LTERATION <br /> <br />FROM PROPERTY TAX NOTICE\ <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />6NCt...osE.. ?Of2.Ct-t <br /> <br />BUILDING SIZE <br /> <br />J 'f X ~. rg <br /> <br />SQUARE FOOTAGE <br /> <br />q 5". z....- <br /> <br />HEIGHT <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 />PERMITS REQUESTED <br /> <br />ijt-BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />$ <br /> <br />1I,4-co-oO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />VALUATION OF MECHANCIAL INSTALLATIO~~~ <br /> <br />~~~ <br />~~~~LL~ <br /> <br />IS PROJECT IN FLOOD ZONE AREAtr Y~ - 0 NO <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION:~ BLOCK <br /> <br />o FRAME <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />SIGNATURE <br /> <br />~~A~ <br /> <br /> <br />****************************************************************** <br /> <br />COMPANY C:;.L. $7816 c..oAJ-5:T. <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # <br /> <br />C!.&- ~ O:J--7.- t J) 9 <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <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 />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />. .- -.....OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />