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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 5-/~- O~- <br />DATE RECEIVED - <br /> <br />PHONE CONTACT FOR <br /> <br />PERMITTING <br /> <br />(/ "'~@iZ~?3i (') s-3 -L) <br />PHONE g 13 78'8'('p'l93 <br />J 3.0/c <br /> <br />OWNER'S NAME <br /> <br />Artc(re--<-_-~ <br /> <br />1; ~,' frLIe-7e( <br />~?2, S-fr~--e f c~p/7A/)4 <br /> <br />.-. <br />I-L <br /> <br />JOB ADDRESS <br /> <br />S-311o <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />~ ADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />o INSTALL <br /> <br />[J SIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK .4clc\ ?~-re r /cOl'\c.r~te... d."'N<2. LU~ . <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />& (1) SET ENERGY FORMS. <br /> <br />Flrs. " <br />3c) · 0 ~ (l}.--9 G, <br /> <br />PERMITS REQUESTED <br /> <br />~ BUILDING <br />[J ELECTRICAL <br /> <br />~ 00D c"TO <br /> <br />-.-......., <br /> <br />V~LUATION OF TOTAL CONSTRUCTION <br /> <br />-'- <br /> <br />o Progress Energy CI <br /> <br />W.R.E.C. <br /> <br />AMP SERVICE <br /> <br />o PLUMBING <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />o FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />[] NO <br /> <br /> <br />SIGNATURE <br /> <br />v~L ~4~ <br /> <br />COMPANY ~oU fle-y- <br /> <br />BUILDER <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 />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />