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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhi11s, FL 33542 <br />I,\\{. 813-780-0020 FAX: 813-780-0021 <br />\U.J DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />/'} J! ' <br />OWNER'S NAME'/ ~ O--yr1/t...L-:r1. c~ C -/~7 bi.J PHONE ;J /:3 7 <j;( / (;; &>9 <br /> <br />JOB ADORESS --5 'b ;/0 ,~ .7 </,1.1AJ},/), 71 0<30 '12- <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />SQUARE FOOTAGE <br /> <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />CJ <br />~h / 1:;;~ ~ <br />.1. & i ;J. L) <br /> <br />RESTAURANT & HEALTH DEPARTM <br /> <br />66 <br /> <br />DESCRIPTION OF WORK <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 /> <br />AMP SERVICE <br /> <br />o <br /> <br />~ '7 <br />~.IR.E.c. <br />1/>.--0 <br />JL)) 'li:..LiJ- <br />OF MECHANCIAL INSTALLATION <br /> <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCT I <br /> <br />o ELECTRICAL <br /> <br />Progress Energy <br /> <br />o <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION <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 /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRIc~ <br /> <br />SIGNATURE" xci <br /> <br />/iLJ VJ <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <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 />