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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 <br /> <br />DATE RECEIVED <br /> <br />g.....2 ;:t'''or <br /> <br />PHONE CONTACT FOR PERMITTING (-~-S;l."'-~8c::rt/ <br /> <br />OWNER'S NAM~W1U Led.hdter <br />JOB ADDRESS 35~1 B@ry t ,Ln.. <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PHONE <br /> <br />SUBDIVISION E mt.t'tA.ld . PoiV\.t(. <br /> <br />BLOCK <br /> <br />PARCEL ID # ~-~"-.7.\-OO;)'O-ODOC()-OtnC[() <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCT ION <br /> <br />o ADDITION <br /> <br />fitALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <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 />Add <br /> <br />tO~ +0 ROOr'h A-ddi-h'ollV <br /> <br />& HEALTH DEPARTMENT APPROVAL + <br />( pe('~i "\ <br />I'" pY-oJr~ 55 3'10l.J <br /> <br />c:J RESTAURANT <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SjJT.. ENERGY <br />FORMS. iI. <br />Jfc () c) <br />I '< <br /> <br />-.' <br /> <br />FORMS. <br /> <br />PERMITS REQUESTEP <br /> <br />0 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />~PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 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 />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />::=:RE{}fI~~~A <br /> <br />COMPANY C1(f; r7c11(d( s: bAIt/( <br /> <br />STATE CERT OR REGIST # (2FC jt.;-;2 () C( 8,z <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 />