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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 />.3;: !tJS- <br /> <br />, , <br /> <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br /> <br />PHONE '/3-7 <P~-O~~~ <br />~~ <br /> <br />BLOCK <br /> <br />SUBDIVISION ~~ <br /> <br />PARCEL ID 1# <br />WORK PROPSED~TRUCTION <br />OSIGN <br />PROPOSED US~ DWELLING <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />o ADDITION <br /> <br />OALTERATION' <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br /> <br />Oft OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />, <br /> <br />DESCRIPTION OF WORK h~S;t\1/e...~.('e~(cPe.n..~ <br />BUILDING SIZE Lltft?)( L.(/" ~~ SQUARE FOOTAGE I c.Ao'C) <br /> <br />HEIGHT <br /> <br />JY <br /> <br />RESIDENTtAL: ATTACH (2) PLOT 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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o OTHER <br /> <br />~"t )SIJ 1'1G. <br /> <br />uTi U T'-I Fifr'S>~~~T <br /> <br />PERMITS REQUESTED > )WL J~ri VVk,A-r/iP <br /> <br />t3LJ Crr'i ?'2 J utl <br />VALUATION OF TOTAL CONSTRUCT lOr-.( -ro /SSv/Y'iLfl:- or <br /> <br />o Progress Energy 0 W. R. E. C. <br />?)buvI'T <br /> <br />) C I..).. J2Zt:.. uJ) n.j. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION 1-5U::XS. c) Ff <br /> <br />At LioL(( <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />~LDING <br /> <br />AECTRICAL <br /> <br />~UMBING <br />/' ~1EH::>,~ <br />f1 MECHANICAL . $ <br /> <br />o GAS ~FING 0 SPECIALTY <br /> <br />TYPE OF CONSTRUCTIO~ <br /> <br />$ J /q ~ . c.P <br />~~ <br /> <br />AMP SERVICE <br /> <br />o FRAME <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />B l'lU <br /> <br />--- <br /> <br /> <br />BUILDER <br />SIGNA;URE -!;~.~ <br /> <br />--' STATE CERT OR REGIST #C!t'~ O:Ss:/ ~ c/~ <br /> <br />*********************************************************~ <br /> <br /> <br />ELECTRICIAN~ COMPAN~~! <br />~ .I ~ ./ ~/1 ,. ~CfDls:?-3 <br />SIGNATURE I (r C)""v:- . STATE CERT OR REGIST # ~'- <br /> <br />PLUMBER ~***_**~***********""""""":::::::~~:;'(j~<~ Pg <br /> <br />SIGNATURE ~~TE CERT OR REGIST * '-,\S&;o~ <br /> <br />MECHANICAL ;';~~**;;?*~**';"'**'**~~:;~~;~~*~'::.* "'i44.. <br /> <br />SIGNATURE ~~ STATE CERT OR REGIST ~ G:><f.$</'i.? <br /> <br />OTHER ~**""*****"*""*::::A~* **.***~.*.' ;~ <br /> <br /> <br />SIGNATURE '.. a~ STATE CERT' OR REGIST ~ B.=:L~D.s: <br /> <br />