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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, ZephyrhillS, FL 33542 #-' . <br />813-780-0020 FAX: 813-780-0021 I II <br />DATE RECE IYED ,. [I <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />$;fRI'~ /) JJ Y/dOL <br />5'1:3 I.. NCYtc)bt f& ALL t3 LV b ' <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />'Z ep H- Y (L #1 LL5 , r=- L, 3:3 :s-~ ::L <br />, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # j D - 2(; - 2J - D020 -{X)OOD- 6D )0 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION D ADDITION DALTERATION D REPAIR ~INSTALL <br /> DSIGN DMOVE D DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UN IT S D MOBILE HOME <br /> P(COMMERCIAL D INDUSTRIAL D SWIMMING POOL D OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL _ tV~ <br />DESCRIPTION OF WORK I~STALL~zJ .:;~ KLJ 3~dOgV L1m~mR. ~nl1.1b",<-A\i1C.\ j.~ lTLJt <br />. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />..J <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />D BUILDING <br />';pc-ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />o FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATU <br /> <br /> <br />...~.............................. ::::::~ ~;~. 'i~;;;;;,'~ ..~:. J M~. <br /> <br />STAT,E CERT OR REGIST # EC- 'JoDI;) ~ If <br /> <br />************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <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 />