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<br />CITY OF ZEPHYRHILLS PERMIT APPLICAT~U~ <br />BUIWING DEPARTMENT 53. 35 8~H st, Zephyrhi11S, FL 33542 ~/ <br />813-780-0020 FAX: 813-780-0021 ~A/~ <br />DATE RECEIVED ! ~ <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER'S NAME R ~ V ~=x.)"U.~ <br />JOB ADDRESS 3 trY'? 4J~.~ ~ <br />LEGAL DESCRIPTION: LOT (S) 3dO BLOCK <br />PARCEL 10 # <br /> <br />PHONE <br /> <br />SUBDIVISION <br /> <br />/OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />o SIGN <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 />DESCRIPTION OF WORK <br /> <br />~~ HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <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 CONSTRUCTIO~ <br /> <br />S 7.. '-.-~ <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />PERMITS REQUESTED <br /> <br />3:50 <br />9lo~Lj <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br /> AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />$ VALUATION OF MECHANCIAL INSTALLATION~ ~qoq <br />o SPECIALTY 0 OTHER <br /> <br />o ELECTRICAL <br />. PLUMBING <br />o MECHANICAL <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />lIP 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 />COMPANY <br /> <br />BUIIDER <br /> <br />SIGNATURE <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 yY)~ ~ .....vv-e..-- <br />STATE CERT OR REGIST =It C)d ~ 'i~(C I <br /> <br />SIGNATURE <br /> <br />'-S~yv\~ <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />MECHANICAL <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST =It <br />