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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATIU~ <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />3/3~S <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br /> <br />IIO/f-/"2.c;.,;N <br />I.:J &. ~(( vA- <br /> <br />LOT (S) /1r BLOCK <br /> <br />PHONE <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~ HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br /> <br />m)/ "C; / !J? <br />I -,.I , <br /> <br />BUILDING SIZE ,1 rt sf <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 CONST.ROCTION/? . <br />. l /Jml t~ fI\lIJLiL ) <br /> <br />PERMITS REQUESTlw S ~~;;~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION ',-- <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />AMP SERVICE 0 Progress Energy 0 w"..R:1::' c'~ <br /> VALUATION OF MECHANCIAL I NSTALLAT'c ~~10 <br /> "-'- <br />0 OTHER <br /> <br /> <br />$ <br /> <br />o BUILDING <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL $ <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 />SIGNATURE <br /> <br />COMPANY <br />(..0 "7----p:J..~ STATE CERT OR REGIST I <br />************* **************************************************** <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />{~~/J~ <br /> <br />COMPANY jtfC- <L- <br /> <br />ELECTRICIAN <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />~;M <br /> <br />SIGNATURE <br /> <br />.{.-u 7-- 4- ,. STATE CERT OR REGIST I <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />J4C2-~ <br />, <br /> <br />SIGNATURE <br /> <br />lJoJ ~ <br /> <br />--~ <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />