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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 STH St, Zephyrhi11s, FL 33542 <br />S13-7S0-0020 FAX:S13-7S0-0021 <br /> <br />DATE RECEIVED <br />PHONE CONTACT FOR PERMITTIN0a J?1- <br /> <br />/~-/$-D4 <br />'lor f'll-I/ cJ I <br />-;q~ <br /> <br />OWNER'S NAME 1llE:S 12.E <br />JOB ADDRESS 'f 33c:> <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />WJl..r1E~c) AI of< r11 A-MCi< leA- PHONE & f5 - 7K3 <br />20TH Srt.<./EEr 2.EtdflyA.It/i-L5 ) F'- '3~S'lO <br /># A- BLOCK ..4//1- SUBDIVISION ,,(//!- <br /> <br />PARCEL 10 # <br /> <br />13 '1.~ 21 0:;.70 <br /> <br />C?4OC> ~ (OBTAIN PROM PROPERTY TAX NOTICE) <br />~DITION DALTERATION D REPAIR D INSTALL <br />D MOVE D DEMOLISH <br />DMULTI-FAMILY D# OF UNITS D MOBILE HOME <br />ld'INDUSTRIAL D SWIMMING POOL D OTHER <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />DSIGN <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />DCOMMERCIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~I<.II-#LE /UoiJ/~/t::.An~.5 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />D BUILDING <br /> <br />$ <br /> <br />._ PERMITS REQUESTED <br />.3 ~ IJtJO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D Progress Energy D <br /> <br />W.R.E.C. <br /> <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />~HER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />~HER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />CON'!'RAC'l'QR,....SEC'l'ION <br />BO"'D~ COMeANY 7Hc h'A6l:eL.L. CO. <br />"~ -- . "A" "" OR REGm . CfiC. a) :l3""Z5 <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 />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />