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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTNENT 5335 S"" St, Zephyrhi11s, FL 33542 <br />S13-7S0-0020 FAX:S13-7S0-0021 <br /> <br />DATE RECEIVED <br /> <br />1-(-05 <br /> <br />PHONE CONTACT FOR PUMITTING fsb.J- S'SQ-63f$"J <br /> <br />OWNER'S NAM~Q~'_ Qr+i'€'/'s."':P <br />JOB ADDRESS :if) SifJf S-h -1Ve- <br />LEGAL DESCRIPTION: LOT(S) €$'.C/ It:> BLOCK Jtq <br />PARCEL ID it ,,- 'J 6 - ~ j ~~/O '- 111'0'0 ~ O'DfJD <br /> <br />PHONE ?It -/- 7S"9'- ('6ft16 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION [] ADDITION []ALTERATION [] REPAIR )(,INSTALL <br /> []SIGN [] MOVE [] DEMOLISH <br />PROPOSED USE: []SGL FAMILY DWELLING []MULTI-FAMILY []# OF UNITS [] MOBILE HOME <br /> )iCOMMERCIAL [] INDUSTRIAL [] SWIMMING POOL [] OTHER <br /> <br />DESCRIPTION OF lIORJt Merkl <br />BUILDING SIZE ,/ V Qfs"; <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />VJooP. ~~ <br /> <br />SQUARE FOOTAGE C.36 ~~Pf- <br /> <br />HEIGHT <br /> <br />J), I <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) SEllNERGY FORMS. <br />FORMS. <br />'-0 <br />~)2..:; DLY<S-, <br /> <br />PERMITS REQUESTED <br /> <br />[] BUILDING <br /> <br />[] ELECTRICAL <br /> <br />[] PLUMBING <br /> <br />[] MECHANICAL <br /> <br />[] GAS ~'ROOFING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[] Progress Energy [] <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [] NO <br /> <br />~fHIU""";~f'.'~:lJ. <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST it <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />*****************************************************************"k <br /> <br />PLtINBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST it <br /> <br />****************************************************************** <br /> <br />MECIlANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />orHBR _ f2~"""'" ..........:;~::~~15;::;~~..i5~:r.~..~ ~. <br /> <br />''''''~, - - - -- - "'" "., o. .~:'" . ('1'(' O:nC07 <br />