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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8ft St, Zephyrhilla, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />3/~~ <br /> <br />. <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'SHAME <br />JOB ADDRESS '7IS- , 3 <br /> <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL ID * '].J-j._ ~5'-:21- lZJJO-Dl"J'!)l)- ()f)~tJ (ORTAIN FROM PROPF.RTY TAX NOTT~F.) <br />WORK PROPSED: /&NEW CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR 0 INST~L <br />o SIGN 0 MOVE 0 DEMOLISH <br /> <br />PROPOSED USE:OSGL FAMILY DWELLING <br />f.lcOMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0* OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o ~THER <br /> <br />,rp ~~T & HEALTH DEPARTMENT lU!P"f'VAL, ' <br />DESCRIP'lIOIl OF lIORK ~ ~ <br />BUILDING SIZE 35)( 'is'0 , SQ~ARE FOOTAGE ~ HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET tNERGY 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 />AMP SERVICE <br /> <br />~ORIDA POWER <br /> <br /> <br />PERMITS REQUESTED <br /> <br />[D.1fuILDING <br />m-1LECTRICAL <br /> <br />$ <br /> <br />7l()I~ <br /> <br />" <br /> <br />JltJ(!) <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o <br /> <br />IlJ.1'LUMBING <br />_ ./ t"'JA Q., LJ cy. <br />UYMECHANICAL $ c/O 0'70 <br /> <br />~Nf) 0 ROOFING 0 SPECIALTY <br /> <br />~ OF CONSTRUCTION: 0 BLOCK <br /> <br />-f J1 ~ 'i <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <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 ~. <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br /> <br />ELECTRIC <br /> <br /> <br />C~T9~~~~S.CTION <br />.... .... .;..,,' t..'. "." ."1,.. . ... <br /> <br />SIGNATURE <br /> <br />, ,',- <br /> <br />STATE CERT OR REGIST * C& -t;/C11..:2Z3 .... <br /> <br />*************************************~***** <br /> <br />(lti.sfl <br />COMPANY. <br /> <br /> <br />STATE CERT OR REGIST * <br /> <br />PLUMBER' <br /> <br />',":': .~ ' . <br />****** **** ****** **** ********************** ******* ** . :..:.' '.', ~.' '. tlA. . <br /> <br /> <br /> <br />'. COMPANY_~A 1~(r~ <br />STATE CERT OR REGIST * (!)(t*)'/7''X5. <br /> <br />SIGNATURE' <br /> <br />STATE CERT OR REGIST * . <br /> <br /> <br />''2f.Z- <br /> <br />***************************** <br /> <br />NBCHANlCAL I j) . " <br />~~~~~. '~~/f~,~~J) ~{ C()~~,~. <br /> <br />COMPANY <br /> <br />"---'-'" -'"'' *** ***** ** * ** ** *** * *** **** *** ** *** * *** **** *** *** ** ** *** **** * * * ** * .... ". ,,~ . ,,,,..'....,...>....... <br />.....':r:r".~!o\:.,,~ ~':\r.". ',: ! ':', " \',~} f;'JJJ'J;'Mlf'!,;;~ <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />',', <br /> <br />STATE CERT OR REGIST * <br /> <br />.. ..,.... -....,.. "~,, .'. <br />. ~,,"";'d'~ ,:"".:;~t~ <br /> <br />)' <br />