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<br />, CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />(\ n 0"" BrW,NG DEP~~[_~:o:;;~i'81i5ior!'~o12;S' ::::::'VED ~ <br />I : ~ t UL Ir-- L AI ~Hd C~T FOR PERMITTING jJf10 l;ve~y <br />!.LnfJar Y-bflLlS. LM6 <br />ml. 7liff'.LJ"Y <br />LEGAL DESCRIPTION, LOT IS) I . BLOCK 9? SUBDIVISION WMVUvJ <br />PARCEL I~ # 3S8S" ~ ;)1- p':>- llL/ <br /> <br />PHONE <br /> <br />813 -9j,Jfr'd~31 <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS.-!J 530 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: j2g NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: riSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI - FAMIL Y <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 OE' WORK L.SI 0 S& <br />BUILDING SIZE ~ <br /> <br />UaN/~, ~.(/fl~J- <br /> <br />SQUARE FO TAGE ~l37 L/ \ <br /> <br />HEIGHT <br /> <br />~f\-- <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 />~BUILDING <br />~LECTRICAL <br />~LUMBING <br />~ECHANICAL $ ~~ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS .AROOFING 0 SPECIALTY 0 OTHER <br />TYPE OF CONSTRUCTION: g"'BLOCK 0 FRAME <br />FINISHED FLOOR ELEVATIONS J?~)/,J() <br />\\ <br /> <br />$ <br /> <br />PERMITS REQUESTED <br /> <br />1~/t)~[) VALUATION OF TOTAL CONSTRUCTION <br />~ AMP SERVICE <br /> <br />o Progress Energy ~ <br /> <br />W.R.E.C. <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />)fNO <br /> <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />:5 <br />Cl3c t)1&&9~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />****************************************************"************* <br /> <br />SIGNATURE <br /> <br />1/rL <br /> <br />tJ)tULtflc <br /> <br />COMPANY &J1(){JJ1. ~.-;' <br />STATE CERT OR REGIST # 00/3/3 .V- <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />JtUL.1:fb <br /> <br />. ~ <br /> <br />COMPANY ~-I- <br />STATE CERT OR REGIST # CFGOL/d 99 f <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />********************************************7r,*****,*1************* <br /> <br />~ COMPANY .1[. L~rzpl).JAI J()'~ <br />[/1<.. ;.J)fLU,~ STATE CERT OR REGIST # Cite LJ5/J 4/0 <br />1 <br /> <br /> <br />H H:/{*:*;** *** *~~*,*~=** * ***~~~;:~: *(i * *~*~~**~i- <br /> <br />~ ill ~ STATE CERT OR REGIST * I/Cil !,.-() /3 <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br />