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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 Ir,I..II..1 <br />DATE RECEIVED ~ <br /> <br />PHONE CONTACT FOR PERMITTING '35":;).-~-I\ob5 <br /> <br />OWNER'S NAME '\)e.~\J ~ ~y\'Q~,", <br />JOB ADDRESS -S-\oE:, \b~~t -Z-~ <br /> <br />PHONE '~5&- "tse- 'Tsl./~ <br />,PL <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br />6D \ () dC:> ~C() G I'd 0 <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # ~ \ <br /> <br />C)-to d \ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[JADDITION <br /> <br />o ALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[J SIGN <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: 0 SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />[JMULTI - FAMIL Y <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMEN\ APPROVAL <br /> <br />AD~ ~ ~ ~~ <br /> <br />SQUARE FOOTAGE \(") ~ b HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br /> PERMITS REQUESTED <br />o BUILDING $ \ Qcc- en) VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />0 PLUMBING <br />[J MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES [J NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER ~~ <br />SIGNATURE. ~~~- ~\)~~~ <br /> <br />***************************************************************** <br /> <br /> <br />COMPANY <X-~ ~~~~ <br />STATE CERT OR REGIST # ~LC()~f\.'1~{1 <br />