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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhi.lls, FL 33542 . <br />813-780-0020 FAX: 813-780-0021 L..{-13 -OS <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ~~~ \=a.c.:\,-\;!..S <br />JOB ADDREss-=r:t11 ~a..\\ €::i ~. ~h"1 "".. '\ \s <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # 3?;l S' ;;11 Do I () - 0 ~~()O -0000 <br /> <br />PHONE ~\)l- ~1..9, ~<1z.'3 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN PROM PROPF.RTY TAX NOTIr.F.1 <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION ~ALTERATION ~REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI - FAMIL Y 0# OF UNITS o MOBILE HOME <br /> ~COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~t)K 4'e>>.\.i~\. \\\ ~ ezr.J '~.\-cU\ ~t.t..a:) wo.l\ <br /> <br />BUILDING SIZE SQUARE FOOTAGE 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 />FORMS. <br /> <br />JJ L{')?-1 <br /> <br />PERMITS REQUESTED <br /> <br />$ BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <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: 0 BLOCK <br /> <br />1!l FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~ NO <br /> <br />BUILDE <br /> <br /> <br />COMPANY f"~ e...r ~n1r('tl ~,,~ 'Il\c.. <br /> <br />COMPANY <br /> <br />()S 'e/Y Elec., <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />Ii! Cr:.'V\ t:fzP <br />'~ELECTRICIAN <br /> <br />*************************************************** <br /> <br />SIGNATURE <br /> <br />Sa r~j <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 />~l,.' <br />cyt f~ v'l MECHANICAL <br /> <br />SIGNATURE <br /> <br />S<L~ ~~ J- <br /> <br />STATE CERT OR REGIST # <br /> <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPAN <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />