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<br />J <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8THSt, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />I /31 ~r; <br />/ ! <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER' S NAME'T~ V;&..U fY\d~~U2.J~~ PHONE ~/:3-1j.:<-OS~S <br />JOB ADDRESS 31'10'1 ~.e-f ~~~ ) ()JL~=?.....Q~JL <br />LEGAL DESCRIPTION: LOT(S) . #. BLOCK~ SUBDIVISION ~ <br />PARCEL ID #l'?/-f~-,;:;",/-ol(J) ,..~- ~ (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION' <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />oMULTI-FAMILY <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />~R <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK g/. ~/ ~~~ .01\..1 ~~ <br /> <br />BUILDING SIZE CPl X-:;2~ SQUARE FOOTAGE ~ t-I <br /> <br /> <br />I' <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />"~a UTiLrr'f oJ'liT~/ <br />VAL~ATION OF TOTAr, CONSTRUCTION~]Xj."IIU\. 1.J..C::i~k\..Jf <br /> <br />SERVICE ~ress Energy 0 W.R.E.C. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br />~ j~U.:)(.- <br />~ Ji-Lf-<.. <br /> <br />431LECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />~~ <br /> <br />AMP <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o 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 0 NO <br /> <br /> <br />BUILDER 1. <br /> <br />SIGNATUREj)JfA?L~ STATE CERT OR REGIST ~. CBS/3i <br /> <br /> <br />*:*:****~**:********~************:****.*~~ <br /> <br /> <br />ELECTRICIAN / ~ COMPA~~ , <br />SIGNATUR~~~cJl)~ STATE CERT OR REGIST * d b'D/<.fJ-S:.CZI <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <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 />