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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhi11s, FL ~13542
<br />813-780-0020 FAX: 813-780-0021
<br />
<br />DATE RECE IVED
<br />
<br />PHONE CONTACT FOR PERMITTING
<br />
<br />OWNER'S NAME :r A-ft1. ~ 'S R ~ (h k
<br />JOB ADDRESS .s~ IS- 1~ sl-
<br />
<br />PHONE g 13 - 78<6- /<6'35:,-
<br />
<br />LEGAL DESCRIPTION: LOT(S)
<br />
<br />BLOCK
<br />
<br />SUBDIVISION
<br />
<br />PARCEL ID #
<br />
<br />;/- ,":!6-2/-VOIO-D2Soo- t)/OO
<br />
<br />(OBTAIN FROM PROPERTY TAX NOTICE)
<br />
<br />WORK PROPSED: DNEW CONSTRUCTION
<br />
<br />o ADDITION
<br />
<br />DALTERATION
<br />
<br />Gl"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 />,et' Roo P'
<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.
<br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
<br />
<br />PERMITS REQUESTED
<br />
<br />o BUILDING
<br />
<br />$
<br />
<br />600
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />o ELECTRICAL
<br />
<br />AMP SERVICE
<br />
<br />o Progress Energy 0
<br />
<br />W.R.E.C.
<br />
<br />o 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 />o OTHER
<br />
<br />TYPE OF 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 AREAD YES ~
<br />
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<br />w.~~"""~____L_~~'~~~_~_~~"~~.____"""~ _ _ ___ _ _ ~ __ _ _ _ _____~~~~~~~~~..o.=~~==o.-
<br />
<br />BUILDER
<br />
<br />..," ,
<br />"J1om... COMPANY
<br />. 9. f? /J/J / OwXJft'
<br />SIGNATURE ~ I ~ 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 />******************************************************************
<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 />
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