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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhil1s, FL 33542 ~ <br />813-780-0020 FAX: 813-780-0021 oS <br />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PEPMITTING (g~ ("J 1- 4~ttJ <br /> <br />OWNER' S NAM~r f./IUE~;!)IJG <br />JOB ADDRESS 29.82 Q111 f/tl6JvE: <br /> <br />(P\J;1 <br /> <br />PARCEL ID # /I-r%> -~/- OOID - /li>!JOO - OO{P() <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />ZE PIIY1111LLS <br />BLOCK / It> g <br /> <br />t:L 3351.:< <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION o ALTERATI ON o REPAIR o INSTALL <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE: oSG1, FAMILY DWELLING oMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL t1 OTHER <br /> <br />c:J RESTAU~JT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK .pOOL- 6 JCL.OvtJfE <br />BUILDING SIZE 1/70 .sF SQUARE FOOTAGE 15' X Ol~ ' <br /> <br />HEIGHT <br /> <br />2' <br /> <br />RESIDENTIAL: ATTACH (2) PIlOT 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 />C}D. <br /> <br />~~ <br /> <br />pLj)G. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />5 5,g~. ~ <br /> <br />, <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o PLUMBING <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 AHEAD YES 0 NO <br /> <br />L____._..____ <br /> <br />SIGNATURE <br /> <br /> <br />C:.Q.'N~. .,.:1(\). .;It:.~j~!.I. cm.'~. I <br />... "'-~"':~:::::;"JaIww).c ~rmi.~ <br /> <br />BUILDER <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 />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 CEHT OR REGIST # <br />