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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />qlttl!pt! <br /> <br />, <br /> <br />PHONE CONTACT FOR PERMITTING ~J S -9/{c' ?t/c,CJ <br /> <br />JOB ADDRESS <br /> <br />~f1KTOWlJ ~~ <br />~J~C1 \;~ f:;T <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br /> <br />(J ADDITION <br /> <br />(J ALTERAT ION <br /> <br />(J REPAIR <br /> <br />~ INSTALL <br /> <br />(J SIGN <br /> <br />(J MOVE <br /> <br />(J DEMOLISH <br /> <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />(J COMMERCIAL <br /> <br />(JMULTI-FAMILY <br />(J INDUSTRIAL <br /> <br />(J# OF UNITS <br />(J SWIMMING POOL <br /> <br />(J MOBILE HOME <br />(J OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK J:,&-t ..,1 "'1'v' <;'1IW"9 &",1; "J _S\\~J..e!VI It-- r\) 1 ~ h ~ <br /> <br />(J MECHANICAL <br /> <br />BUILDING SIZE SQUARE FOOTAGE HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) S~~~~~~~ <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FO~S'. ' j ~~~ / <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. //t<oJtNf ~ /' <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTli ~-~o:~;::::.- '\ <br /> <br /> <br />PERMITS REQUESTED ~/ () r-/ ~ / <br />JZ5:P, ~ VALDATION OF TOTAL CONSTRUCTION 4#0 / . <br />AMP SERVICE (J Progress Energy (J ~/ <br />/' ~to~ <br />VALUATION OF MECHANCIAL INSTALLATION ~'A/ ~ ' <br />, d ~ _ '. ~ (),Uv. <br />,,' ~ ~/ <br /> <br />(J BU,ILDING <br /> <br />$ <br /> <br />(J ELECTRICAL <br /> <br />(J PLUMBING <br /> <br />$ <br /> <br />(J GAS <br /> <br /> <br />o ROOFING <br /> <br />~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 <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT <br /> <br />****************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT <br /> <br />**************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REG ST # <br /> <br />************************************************** *************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />OTHER <br /> <br />,~-r ~~, <br />~ <br /> <br />COMPANY f;.v- h qh~ ~n e- <br />STATE CERT OR REGIST it crJJ3.$"O(O~n I )ql17 <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR RE 1ST it <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br />