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<br />CITY OF ZEPHYRHILLS PERMIT APPLICAT~UM <br />BUILDING DEPARTMENT 5335 8~" st, ZephyrhillS, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED- <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />'NER' S NAM~ 1.ks +~ OIrJcs e PHONE ft;Ct 5 -9cf1'r <br />OB ADDRESS_ '6-7'(;D /2:P-1cb-vr r~ My- <br />EGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />ARCEL 10 # d!--dU?..:i)/-{YYY.J-CXJ/tx::> - ~(:) (OBTAIN FROM PROPERTY Till< <br />ORK PROPSED: ~CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR 0 ] <br /> <br />OSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />ot <br />O( <br /> <br />3UILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />\d-~~ ~iLJ~h1't~ <br /> <br />SQUARE FOOTAGE V2f!) <br /> <br />)ESCRIPTION OF WORK <br /> <br />HEIGHT _ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERG' <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 />] BUILDING $ J ~/){).f)V VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C <br />] PLUMBING <br />] MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />] GAS o ROOFING o SPECIALTY 0 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 AREAO YES <br /> <br /> <br />COMPANY <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />************************************************************',***** <br /> <br />COMPANY <br /> <br />MECHANICAL <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />OTHE~__ ~""""""""""""'~~~::~~;~;i;;'~~ <br /> <br />SIGNATUR~ ~_ J'Po.>r.1./. STATE CERT OR REGIST . '2--~ <br />