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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 />OWNER'S NAME <~~~ , <br /> <br />JOB ADDRESS. ~ L \- L1J~. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />D:J.. - ~b - 02/ - (YD/U ,,_D~ hOD VO~O <br />PARCEL ID # C..,...;t - & b -~ - ~IO - Od.~~..>C> - OO~LJ <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PHONE 'g> /3 -7 &..< -- 0 c:Po(;.S <br /> <br />WORK PROPSED~CONSTRUCTION <br /> <br />o ADDITION <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN 0 MOVE 0 DEMOLISH ~ <br />PROPOSED USE: DSGL FAMILY DWELLING ~I-FAMILY ~OF UNITS <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~ ~dL.(J j 4 ~ I ~ -R- · -;(, <br />BUILDING SIZE J II X c.?1 SQUARE FOOTAGE, S-O/(O HEIGHT (P / <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 />~LDING <br />.ffEi:'ECTRICAL <br /> <br />$cXS-t1 [)ZX:>~ <br />j([)O <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />W.R.E.C. <br /> <br />~~BING <br />~~ANICAL $ 7~D'D, ~ <br />o GAS ~OFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: ~OCK <br /> <br />o <br /> <br />o <br /> <br />Progress Energy <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o FRAME <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~O <br /> <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # ~- ~ r sf <br /> <br />**************************************************** <br /> <br />COMPANY~~ <br /> <br />'~C=CUN~ <br />SIGNATURE ' STATE CERT OR REGIST # E ~B(X)~ ~ <br />************ **************************************************** <br /> <br />PLUMBER <br /> <br /> <br />SIGNATURE <br /> <br />COMPAN~/LJ~~ <br /> <br />STATE CERT OR REGIST # 0-~ I'-I~ &:>Oc::r- <br /> <br />MECHANICAL <br /> <br /> <br />**********************************~********~ <br />COMPANY ~~ t: <br /> <br />STATE CERT OR REGIST ~ A2. B ",&S 7 7' <br /> <br />SIGNATURE j <br /> <br />* *************************************************** <br /> <br />O'rHER ~ COMPANY...f?l~~~~'t-..~*,~ <br /> <br />SIGNATURE. ' ~ STATE CERT OR REGIST # ~ jSC!;:( SSOS <br />