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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIlDING DEPARftmN'f 5335 8ft st, Zephyrbills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 RECBIVBD II - (t - 0 V <br /> <br />PHONE COO'lAC'l FOR ~~~)S 3~-~S-z..1 <br /> <br />OWNER'S NAM0-OLlre ~ l-\-6M't:. t.e.w:ter3 =tt'\(.. PHONE <br />JOB ADDRESS -7 q '2.. I Ga II 15 l vd . <br /> <br />Chr\-( <br />~eJ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 34-?.S-al-C>otO-COIOO-60tO <br /> <br />(ORTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ClNEW CONSTRUCTION Cl ADDITION ClALTERATION Cl REPAI R ld INSTALL <br /> ClSIGN Cl MOVE Cl DEMOLISH <br />PROPOSED USE: ClSGL FAMILY DWELLING ClMULTI-FAMILY Cl# OF UNITS Cl MOBILE HOME <br /> 'ilCOMMERCIAL ClINDUSTRIAL ClSWIMMING POOL Cl OTHER <br /> <br />DESCRI~ICfi OF WORlt <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />In<;.'-ta l1 -Q-;K olaVfV\ s:uS--TeM <br />\. <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 /> <br />PERMITS REQUESTED (1 :; 10. <br /> <br />$~ VALUATION OF TOTAL CONSTRUCTION ,-, <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />~f jk:J-U <br /> <br /> <br />\ <br />,)0 <br />. ,....... <br /> <br />F\~E'~ <br />o BYfl:MNG <br /> <br />--..~..~..-.~ <br /> <br />Cl ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />Cl Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />.........--') <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />'Jd SPECIALTY <br /> <br />Cl OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />Cl FRAME <br /> <br />Cl STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />~llll!ijl]DmJja:rtg[jQI.OOlr. <br /> <br />BUIlDER <br /> <br />CCMPANY <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 />CCMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MBCHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />...... ~ \I(~ crne_ to"'l!!.-elfci Q I t= ,',-e e ~U'1l co.:fiot\.l' <br />",C,NA"" , - - .0 '() I~ fl1\r-~'^'" C,"' OR "G'" . 'EFooo07BS <br />