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<br />CITY OF ZEPHYRHILLS PERMIT APPLICAT~UN <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />DATE RECEIVED 5-/2-0'- <br />PERMITTING bt.3 -"Z(7 - 3~v <br /> <br />JOB ADDRESS <br /> <br />Btw let {3L '(/fN1 <br />3'd '3 Z3 11U7J~j) f'L- j 2e/l;yy~111 ~ / <br /> <br />. . <br /> <br />PHONE &,/~7/~-'I<f~ <br />tt.. '~7f V <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />67..- Z-lo - 2/_ () Z-II)-- 6()Jcn - ~3f> <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [] NEW CONSTRUCTION []ADDITION []ALTERATION ~~REPAIR [] INSTALL <br /> [] SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: []SGL FAMILY DWELLING []MULTI-FAMILY []# OF UNITS [] MOBILE HOME <br /> [] COMMERCIAL [] INDUSTRIAL [] SWIMMING POOL []OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />f21,(., 7 (J.JI MiI7!\4) M c4fJ1tJ4€ 71J /l-I() <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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. kI <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.t,! <br /> <br />(g7, ~~~Lj)G <br /> <br />[] BUILDING <br /> <br />$ 'v 7Zt: tI <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] ELECTRICAL <br />o PLUMBING <br />[] MECHANICAL <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 />[] ROOFING <br /> <br />o SPECIALTY <br /> <br />[] 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 AREA[] YES [] NO <br /> <br />~~,=~=~~.:,~~=~-:~:~.~~~:~:_:==~=-~~:',:~~:,'~ _.~=-~__ . _ .... . ,h _ . :. ___. . :=~.:.::_~'~,~ .:~::_'~-~~~:.' ,:_:~'~-'_:~~:~~~.r~:J}. <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <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 />I .. '-<s C~r>A~A' (/VI-- I",.-It" r~ <br />OTHER ~ ", , ':;rV\ COMPANY U I/WC. r '-#',,/)IV l:fS II/C--- <br />SIGNATURE fW..~ ( . STATE CERT OR REGIST # 'Ck;C. / So ~4-i7 <br />