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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 />(<a3"\ <br />PHONE CONTACT FOR PERMITTIN6 ~ <br /> <br />OWNER'S NAME PRYlJ0.YY\\f\ &~r:A') <br />JOB ADDRESS ,3C:A H1~CP <br />LEGAL DESCRIPTION: LOT(S) ~~ BLOCK <br />PARCEL 10 # 3L\ d.~ ~\ 0\00 rf'fD~ 0050 <br /> <br />PHONE <br /> <br />())\3}J \4- ~a7 d <br /> <br />SUBDIVISION <br /> <br /> <br />~9~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />OALTERATION 0 REPAIR )4 INSTALL <br />o DEMOLISH <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />)( OT HER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK Ff"rCe... \l'B\o.U(\-\ir.n -~115'k. :ft. <br />BUILDING SIZE -BeOfi"" FOOTAGE \.,.; lin!!Jr"#. HEIGHT Itft. <br /> <br />RESIDENTIAL: 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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$~ DO~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />li! OT HER r-ff'C;e, <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 />I S PROJECT IN FLOOD ZONE AREA 0 YES tiS NO <br /> <br /> <br />COMPANY <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <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 FprcD lr:f:iaUa-:\1bn <br />SIGNATURE~\f\Y)\~ N.. S,d0\10YI <br /> <br />COMPAN,JlB:D fr~LC <br /> <br />STATE CERT OR REGIST # ~ <br />