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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 Bm St, Zephyrhi11s, FL 33542 <br />B13-7BO-0020 FAX:B13-7BO-0021 <br /> <br />DATE RECEIVED <br />PHONE CONTACT FOR PERMITTING g 13 - "'L 1- '2...) 7 , <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />tV1 ed ('('q L C-e Yl i-'fy'"'" PHONE <br />B J rd. 2 --e pI:, y V" 1-11 /1..5, 'FL SJ S '-f J <br />, <br /> <br />BLOCK SUBDIVISION <:: :,-1--., ,:) f <br /> <br />OWNER'S NAME eqst PO/SCv <br />JOB ADDRESS 70S 0 G-a t I <br /> <br />2:cpI, yrJ./IIJ <br /> <br />PARCEL ID ji <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />lia ADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[JSIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[JCOMMERCIAL <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[Jji OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />00 OTHER .41 e d I "( c, L <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK /nSfQIh'1$ lYe IV F/'tr" P,ot.('ci "O~1 1ST FL, 'L/Vd FL.r 3X../) PL ~..,tl,Oi,fJ~4f"ll. <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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />(}tJ <br /> <br />4- '7/1 ~ <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />[J Progress Energy [J <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />g) OTHER t=,r~ PYDt-f'C1-IOY/j" (J~70c7.0U VqLl.I""tlo~ <br />[J FRAME [J STEEL 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br />CO~C;QIt:cS~E?N <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST ji <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST ji <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST ji <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST ji <br /> <br />****~**************************~********************************* <br /> <br />OTHER f/XO~e~i{'~~ <br />SIGNATURE ~ <br />, <br /> <br />- <br /> <br />COMPANY Ryt}w,,? A-cr-FOWJq +;"C 5 Py"ii?l:.-l-tr <br />STATE CERT OR REGIST # S '1 trr? 9 CD 0 0 "ller q 1) <br />