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<br />CITY OF ZEPBYRHILLS PERMIT APPLICATION <br />BtJJ:LDING DEPAR1'MEH'r 5335 S'" St, Zephyrhi1.1.s, FL 33542 <br />S1.3-7S0-0020 FAX:S13-7S0-0021 <br /> <br />DATE RECEIVED <br /> <br />3 ht'/()~ <br />, <br /> <br />~~. (L,^y. fhf. <br />OWNER'S NAME~O e, \)ropect\ ~ s LL~ <br />JOB ADDRESS 'I ~ J. \ G<A\ \ e,\~ ~ Ze? h" . r, i \15 <br />\ <br />PARCEL ID # .-"q -~5-J.I-Ol50 -00000 -OQ,t~N <br /> <br />PHONE CONTACT FOR PERMITTING ~ tn?J 'i 50 .;t J I 7 <br /> <br />Oeboro.l. <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />FROM <br /> <br />PROPF.R~Y TAX NOTT~F.l <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />[] ADDITION <br /> <br />[]ALTERATION <br /> <br />[]REPAIR <br /> <br />~NSTALL <br /> <br />[]SIGN <br /> <br />[] MOVE <br /> <br />[] DEMOLISH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />~MMERCIAL <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[]# OF UNITS <br />[] SWIMMING POOL <br /> <br />[] MOBILE HOME <br />[] OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESClUPTIaf OF WORK ';1.;).., 5 r T !-tond \ II c::- tr. \ \ a tit) II <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENE:RGY 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 />[] BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />/ <br />~ "/') <br />~ <br /> <br />PERMITS REQUESTED <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[] Progress Energy [] <br /> <br />W.R.E.C. <br /> <br />[] PLUMBING <br />Er'MECHANICAL <br /> <br />$ 5)000. '00 <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />~THER <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 /> <br />BtJJ:LDER <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 />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MEC <br /> <br /> <br />* * ** * * ** ** ** * * ** * * **: * t** * **** *** * *** * ** * *~, <br />COMPANY Wen d Ie 5~-e(" t Nt" tc. I In <- <br />STATE CERT OR REGIST # C!.'5C-05('lol...1_ <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />