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<br />CITY OF ZEPHYRHILLS PERMIT APPLICAT~U~ <br /> <br />BUILDING DEPARTMENT 5335 8~H st, Zephyrhil1s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 /') Z <br />DATE RECEIVED rx'-J -/)5- <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME --T ~- b. ~f\ G~G.e1T PHONE (~l~/ 7 ~ e - 2 I <)~- <br />__.~IA 5'N <br />JOB ADDRESS ~815"" bA.~ ~'1 ~C\ ~ ~::.t' f ~ I ~ l'\\ll $ , fL ??')-",J- <br /> \. <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />OSIGN <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <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 AP~ROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />-- <br />~l\e. <br /> <br />~\O Il IA.. <br /> <br />.~ <br /> <br />1ftl~W <br /> <br />'5}Th-- O'lrxJ <br />/ <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 CONSTRUCTIO . <br /> <br /> <br />.ENERGY FORMS. <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />'. . ='\ <br />/' ~ .1~0 <br />/ L----~ <br />~ <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ )11var <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o GAS <br /> <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL <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 />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br />AREA 0 YES 0 NO <br /> <br />COMPANY i/C D) '(\J\, :J: N c., <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # <br /> <br />************************************************************* <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />. '4 <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 /> <br />~ P~I' <br />