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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8ft St, Zephyrhi1ls, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />IO~~Y <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # ~ 21- Z S. ZI - DODD - 00 ~OD - OO~D <br /> <br />Qa.t- h PVOP.u-ML~J JA..(., <br />D~-"- ~ ~ ~h~V'~\\\~ I 'F'L <br />SUBDIVISION OaJc... \2..uA. o...ot-s. <br /> <br />PHONE <br /> <br />1~3-<6L..f9o <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />(ORTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~OMMERCIAL <br /> <br />D ADDITION <br />o MOVE <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />D REPAIR <br /> <br />o INSTALL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />0# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK ~ ^-R(f <br />BUILDING SIZE :l.o X. f; C. I <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />6-u 'clA-~J <br /> <br />SQUARE FOOTAGE <br /> <br />/1 :J...O <br /> <br />HEIGHT <br /> <br />).J/ / <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. LdALt!~. J.\.aI)iI\6y''';j) <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.J"~ r~~ IlrJ"~ <br /> <br />rl>1 V?J21lil>f (?YtL ()IL <br /> <br />T-.:.. pflJtf'L II <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PERMITS REQUESTED <br /> <br />~ BUILDING <br />p( ELECTRICAL <br /> <br />$ ,r~ODO <br />I (JfJ <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />D PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />DGAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: ~CK <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 6.-N6 <br /> <br />mnWE~ <br />SIGNAT __~ L) <br /> <br /> <br />************** <br /> <br />C~TOR~:,~SECTION <br />',...: ".. .',:. - ,.....- ..~,>-', .',',; "".',::. ,-J.:', '.,;: .;,., ,".:,-,','. '. ",' ,- : :'" > . .... ',.. , <br /> <br />\n ^ COMPANY SOAd c\ \::>.u,L \" ~......ci ~, ..J--.. t.. , <br />~ STATE CERT OR REGIST # c...e,c.. 0' 0 ~ '- '"5 <br /> <br />ELECTRI <br /> <br /> <br />************************************************** <br /> <br />COMPANY t=1 r ~-t- t.,\ c... ') S c:-u..~' e- <br />STATE CERT OR REGIST # S. g. 00 I I ~ \ 1 <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 />