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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhi11s, FL 33542 ~~ . ~ <br />813-780-0020 FAX: 813-780-0021 t~ <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAMa ~'~&/7:" ~~NE R 13~)cF~ -€) ?d-.-S <br />JOB ADDRESS' 3? t..f Of ~~~. . <br />LEGAL DESCRIPTION: LOT(S) !)~ BLOCK ~ SUBDIVISION l?/~ <br />PARCEL ID # ~f-:<.s -:;;; - 0/:50 - VO~...O ~AIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPS ED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />DESCRIPTION OF WORK <br /> <br />~RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />~NG <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <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 AREAD YES 0 NO <br /> <br />h~:_;~~::~1~t~';~Tiif57 _~~,;~~J~~~~:rd~r:~ ~\~rJJ~~i~~0~1-:~-i - - ~ - - t t. '~' "~;.:- :,- ~~ ~ ~-~_.)~ 7.~:- ~~~~~~~~lr~;\~f{~~~i:ij:I~f{~', <br />~~~~.ti:.:~~L______ ______~~ .__~_._____..!~~~:iJ.i.:1~lt' jll' ""1, Y." r'v:::~,j4 ~if. 'l~-in: ) ;~~ld,'\f.'j,w~~ l;(ti <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />PLUMBER <br /> <br /> <br />..................................:::::::~~~~~~ <br /> <br />STATE CERT OR REGIST # ~/~ l:,O,:)",,/ <br /> <br />SIGNATURE <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 />