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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 2.'). JLI.- (J ,5- <br />DATE, RECEIVED' L <br />X - (re.... 1); ~ J ~T d- PHONE COHTACT FOR PERMITTmG (1/ '7~ /(;3'1 <br />, \i .... ~ //"- <br />OWNER'S NAME '--'\ltYY't.:z,] l/{V(\(~.t>( PHONE ('56 () . i; l~)() <br />JOB ADDRESS ~.,q,-c;?) ['"'r~(lll {';)II,/ ;:-;'.tk_f{f\' Irs i PL :55'''-;"L/1 <br />LEGAL DESCRIPTION' LO'1'ISI' BLOC~. I SUBDIVISION DJ(I\j (~r"~:,;,j.] <br />PARCEL ID # .L.:::wL ~'('i.'jD~(j /,~...t 6/d'J i:I- / (OBTAIN FROI'-I PROPERTY TAX NOTICEl <br />) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />ttSIGN <br /> <br />PROPOSED USE: oSGL FAMILY DWELLING <br /> <br />)g1 COMMERCIAL <br />I <br /> <br />o ADDITION <br /> <br />DALTERATION <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 />C'-I <br />BUILDING SIZE / C <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />I /J <br />/ <br />t1 L::, <br /> <br />.L I'" . I ' ~ / . \ (~ill <br />If ,. 1,4...,-./ <br /> <br />.1 -'I ) <br />SQUARE FOOTAGE 1 r.- L. ,,' <br /> <br /> <br />/( <br />{it J 1,'.Xj,,:t- <br />--~ -~~.._-,~~~~~ <br />HEIGHT <br /> <br />'- <br /> <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 />t'\-."\.. \>,,~ )'11> P~~~~; tJjRVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />I \ ~ .-", ) I 1\.- r ) );.\- <br />;') ~~ r '12- s)~ <br /> <br />/'l~ <br />'J. j.. ///1 <br />$ __ I tet <br />, <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br />~_ ?SLj;6. <br /> <br />.-..... <br />.~ ) . <br />.;:, <br />? ).-. ~ )i l:K e.. <br /> <br />~~mILDING <br /> <br />)i=.:LECTRICAL <br />I <br />o PLUMBING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 AREAo YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />l, (j 0 ~ (c( ) F/ c_ <br />o I <br />STATE CERT OR REGIST # t!:: C -otJO,) S~S-.;.) <br /> <br />SIGNATURE <br /> <br />I. ;}!c(2 t. i L ( . //rr/- . <br /> <br />.. <br />._ 1 <br />i/ C~):..:-'/l\../r <br />, / <br /> <br />',' i <br />, ,',' . .~ <br />SIGNATURE!,L I': (i~'JlU <br /> <br />******************************************************~,*********** <br />r <br />COMPANY (X"\):5Ci,/) / I-!'C- <br />STATE CERT OR REGIST # e C -(2,[, ~2.Sy")- <br /> <br />~- -\,..-:>-f <br />;ev.' <br /> <br />\.;... <br />.. ~/', \ <br />I t~1(.~---- <br />. <br /> <br />ELECTRICIAN <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 />