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<br />CITY OF ZEPHYRHILLS PERMIT APPL~CA~~U~ <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />;J -/(n-1)5- <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />_OWNER'S NAME tJ 6 RJ1 8 C .. <br />"JOB ADDRESS '~'i1 7l.j It "q d U'r H <br /> <br />_Du V\f N <br />./ <br />A V r: f\r cJ E. <br /> <br />PHONE '8 I ~ - '7 ~.g f.p ~ ~ ]6 <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />~ i y. :U" \)...1 II 1\ lOll Cl1.f 6 b () j \'5 b IO~TI'I~ FRQM PRQPERTY TAX ~OTICEI <br />WORK PROPSED: ONEW CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR 0 INSTALL <br /> <br />o SIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br /> <br />DESCRIPTION OF WORK)< f:J f:'"hf .fly I tJ~1 r ~q 0 tJ H, b dJ; r B 021 ~ <br /> <br />BUILDING SIZE SQUARE FOOTAGE HEIGHT <br /> <br />,r <br /> <br />,.----'--- <br />& (1), .~_Ji('l"'~E,N" ERGY ~")MS . <br />FORMS~; <br />, ------- ' <br /> <br />/' ' <br />// ~) <br />! ~ 32 <br /> <br />N <br /> <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 />~UILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />(_ -"",'''-:=0"'.__- ,_,____,~ERMITS REQUESTED <br />c.\::..> '- <br />"l? / {j)O o' -- ~ALUATION OF TOTAL CONSTRUCT <br />, <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <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 />- <br />~ BUILDER <br /> <br />SIGNA;~~~-rl/~~.wu ~ ,'D {O-/Y\A\, <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />MECHANICAL <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 />