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<br />CITY OF ZEPHYRHILLS PEEOaT APPLICATION <br />BUILDING DEPAR'l'MENT 5335 8'11I St, Zephyrh111a" n. 33542 <br />813-780-0020 FAX: 813-7l\l0-0021 a j/ Ad <br />DATB RECEIVED 77'" -v 7 <br /> <br />PHONE CONTACT FOR PBRMITTING 1'1.3- ?~.,R-..3319 <br /> <br />OWNER'S NAME hS'!JCAY'C;1 Ifl-Ct [;'" l Vr1dn PHONE <br />JOB ADDRESS ,~;< 7 f!re5fe?t' Sf. 2ef^-Jy).,'/J{ Fl. I 33S'/2,-- 3;L~8 <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # IJ 3 -.;2" - ~ I - ()till 0 . tJ o()od ,- 0880 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX N~'l'Tr.F.1 <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE:OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />[J ADDITION <br /> <br />OALTERATION <br />[J DEMOLISH <br /> <br />;t REPAIR <br /> <br />CJ INSTALL <br /> <br />[J MOVE <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBI~E HOME <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DB SCRIPTION OF WORK flepJtke l3/Goft ~n ptfUJ er e,/~ (€.tI~J/~J) <br /> <br />BUILDING SIZE <br /> <br />" <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BU~LDING P~S & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (l) SET ENERGY FORMS. <br />IF SIGN P1mMIT ONLY (2) SETS OF ENGINEERED PIJ:\NS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />//7) <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE 0 Prd1v ~~5 €" 't:Yt1J'I ;< W . R. E . C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />OGAS <br /> <br />o ROOFING 0 SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />CJ STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD. ZONE AREAD 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 />SIGNATURE "<7 ~ ~J~ <br /> <br />COMPANY. P,,-r.fI ~ E/eel-r,'c <br />E~- "Dl'I.Jl.t-8' <br />STATE CERT OR REGIST.. 4+ c..;tr - ",,:n7 <br /> <br />****************************************************************** <br /> <br />PLUNBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST 4+ <br /> <br />****************************************************************** <br />MECHANICAL COMPANY &+h;' .EI,c..J.r~ <br /> <br />SIGNATURE STATE CERT OR REGIST # emc - D.~"1' <br /> <br />~~9S1 <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br />