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<br />CITY OF ZEPHYRHILLS PERMIT APPLICAT.lU1'4 <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhi1ls, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DA,]~E RECEIVED <br /> <br />PHONE CONTACT <br /> <br />FOR PERMITTING B'~-1eJ-qSao <br />~ \ c\h l~ o---+Y\ rop <br />PHONE: Br!J-'l~-~- /515 <br />-7 - H , II '\ '~'~5L/ d. <br /> <br />OWNER'S NAME mCl j es..t I ( _ CXlVl ~ <br />JOB ADDRESS-2B S) ~ P\U<j L~ S{Q <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />LLC <br />llaJ:1 Dna LJ)r , <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />[] REPAIR <br /> <br />[]--fNSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~ILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />I (\""s.h.LU S~er Llfl,L <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. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />~UMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy [J <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <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 />, <br /> <br />PLUMBER \ \ ~ n <br />SIGNATURE--vnc~ U v lu&Q~ <br /> <br />COMPANY})~,.(\.n \ S L, l...0 \ \ \ \ cvY1S '7 k.l.rn b <br />STATE CERT OR REGIST # c.i=C_ j 4d5 toO;) <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 />