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<br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION ~ <br />BUI'LDING DEPARTMENT 5335 B~H st, Zephyrhills, FL 33542 U/ <br />813-7BO-0020 FAX:B13-7BO-0021 1 e5 /J!_ <br />DATE RECEIVED ,~ -e;--l../'y:? <br /> <br />PHONE GONTACT FOR PERMITTING linda Inr:yej <br /> <br />OWNER'S NAME <br /> <br />I).,c:;,f/Dmf-, fJJ~tJ -- !ENN~ <br />U~JkAfy (~~L <br /> <br />BLOCK SUBDIVISION <br />;;' A;'P(2. <br /> <br />PHONE <br /> <br />81~ -'7hq-~7'7 <br /> <br />JOB ADDRESS <br /> <br /> <br />LEGAL DESCRIPTION: <br /> <br /> <br />o SIGN <br />PROPOSED USE: []SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />D REPAIR <br /> <br />o INSTALL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />[] SWIMMING POOL <br /> <br />o MOBILE HOM <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />f ()(1r's-heLle 17 L~Yl <br /> <br />. <br /> <br />'f'R IJi LFJ2 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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. u_" .~~ Jl-7- <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTI~ r;) 17 ';J <br /> <br />. c~ f)" 112 <br />PERMITS REQUESTED . <br /> <br /> <br />o BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br />~ECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />[] PLUMBING <br />o MECHANICAL $ VALUATION OF'MECHANCIAL INSTALLATION <br />o GAS D ROOFING o SPECIALTY D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />[] FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES [] NO <br /> <br /> <br />BUILDER <br /> <br />COMPANy.us-tb~rYH) 0.De{J - Lf (\(\Clr <br />STATE CERT OR REGIST # I <br /> <br /> <br />** ** *** * * * ** *** * * * * * * * * * * * * * * * * * * * * * * * * * * * **** * -I.: '" ** '" * * *** *~* *.* * * "'* ~ <br /> <br /> <br />ELEGTRIGI2:t: 7. //~ GOMPANY -; - 1-.. ~l <br />SIGNATURE _. _~ (. ~ 1.A.... STATE CERT OR REGIST i E~ , ,,-,0 -2,4 \ <br /> <br />"'***************************************************************** <br /> <br />PLUMBER <br /> <br /> <br />COMP <br /> <br />SIGNATURE <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 />