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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 />Jt) -'1- 0<'-1 <br />DATE RECEIVED - <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />"7 Ef2 -, If 0 <br /> <br />OWNER'S NAME ~,:e..L w- ~C()G&S PHONE <br />JOB ADDRESS 02.5 S- 5\ )..x.r 00 \'D \>(' _ z - ~, \ \ ~ ~ ~ . 3-:3 Sl_t\ <br /> <br />8/3-7'82- 7f/o <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />113 <br /> <br />BLOCK <br /> <br />SUBDIVISION "51\\lc..r .::.A4:.S. <br /> <br />PARCEL 10 # 03-z.<..,-,;H-C\~A-CO()OO- \\3c <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />~LTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <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 />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~\OS:~~ \N ~~ ~\G~ <br />2 <15 $<:}. f=T <br /> <br />2 '7S ';;.'7 .Ff <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />\)/ <br />LJ <br /> <br />DESCRIPTION OF WORK <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 />M BUILDING SVC'..:.=:.? <br />$ VALUATION OF TOTAL CONSTRUCTION <br />I)l ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />o PLUMBING <br />~. MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 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 0 NO <br /> <br /> <br />BUILDER <br />SIGNATURE'~ ~ ~ <br /> <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />'V~r< if <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN~' <br />i~_G <br />SIGNATURE ~~ ~ <br /> <br />,-- <br />COMPANY [)W N e..~ <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 />SIGNATURE \)~t)...J ~.'J1 A/'-........ <br /> <br />****************************************************************** <br />COMPANY 0 v-JN ef <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />