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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATIO~ <br />BUILDING DEPARTMENT 5335 8TH st, ZephyrhillS, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />1-/l-o~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ~-h:2(rY\c.v-h~A Lo~, I -rf'\L--. PHONE <br />JOB ADDRESS 50Dl.o ./~ S+rI2.1}- 2e.phl{6lh r F=C Q~'L <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # \\ '~i.o.~,.aaIO'd..c)lQt:)-~~~'G <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [)NEW CONSTRUCTION <br /> <br />[)ADDITION <br /> <br />'titIALTERATION <br /> <br />[) REPAIR <br /> <br />[) INSTALL <br /> <br />[) SIGN <br /> <br />[)MOVE <br /> <br />[) DEMOLISH <br /> <br />PROPOSED USE: [)SGL FAMILY DWELLING <br />~ COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />[)# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~"-"'3" rnc.-o^ p"". l.\'tom 0..- S'l...')i~ r\;"<I>~"",r;l-> \-t, <br />lJ.,) ,re,. A-tUlV' ~f\'" /V'\ ("b<:::,.^,",. <br />SQUARE FOOTAGE HEIGHT <br /> <br />"-l{U^ brec~ <br />~ll. <br /> <br />DESCRIPTION OF WORK <br />--t- <br /> <br />[) BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS ../) <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />// <br />.-/ <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 />PERMITS REQUESTED <br /> <br />~ ELECTRICAL <br />o PLUMBING <br />[) MECHANICAL <br /> <br />\So <br /> <br />AMP SERVICE <br /> <br />~ Progress Energy [) <br /> <br />W.R.E.C. <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: [) BLOCK <br /> <br />o FRAME <br /> <br />[) STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />COMPANY <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE1~~,~ (2 <br /> <br />COMPANyR"p<",,~ f==~ e<-J-Y\('uJ ~c..--. <br />STATE CERT OR REGIST # ~Lf~ <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />MECHANICAL <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br />