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<br />,~u~ <br /> <br />"1-'- <br /> <br />~,::].1 J~: 10;: FM <br /> <br />ZEPHYRHILLS BUILDING <br /> <br />r.U 1'10 81 <br /> <br /> <br />P. 001 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 e~ St, Zephyrhil1s, FL 33542 <br />913-790-0020 FAX'913-780-0021 <br /> <br />< Lv W{J'S <br />OWN'R" NRME~ <br />JOB ADDRESS {JJ.lRyt-l///S HOr/~ <br /> <br />PHONE CONTACT FOR <br /> <br />DATE RECEIVED ;?-;? S - () y <br />PERMITTING 2 51..Wf)3 -ij '7 II <br /> <br />PHONE ~/- w53-LJ f) J J <br />'.:?:i5' <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ~NEW CONSTRUCTION <br />OSIGN <br /> <br />(OHTATN FROM PROP,'RTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED ()SE: OSGL FAMILY DWELLING <br />''KfCOMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF' UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />.Flle \)ffitfC-\iDr) ~~+eJr). Sf\('\f\t\f.r lNS~ A\h+llC() <br />SQUARE FOOTAGE /311, OW <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />o BUILDING <br /> <br />$). 4~ 000 <br /> <br />PERMITS REQUESTED <br /> <br />~~3 3tf 1 <br /> <br />~~LtS <br />~s~~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />2~/ <br /> <br />o PLU~lBING <br /> <br />~ MECHANIC}\L <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o SPECIALTY ~ OTHER <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />TYPE OE' CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************~********************************* <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 />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />O'~R"t, 7V- t1~ 1f <br /> <br />SIGNA1' RE <br /> <br />***************************************************************** <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br />