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<br />CITY OF ZEPHYRHILLSPERMIT APPLICAT~U~ <br />BUILDING DEPARTMENT 5335 8!rH St, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />~tID> <br /> <br />PHONE CONTACT FOR PERMITTING fJ I~- 2-67- ,>1-6Z- <br /> <br />OWNER'S NAME <br /> <br />.~11J/l;t,l1f,t~ ~'rA/;fJ <br />'383/1 1~4f7)t~]) IL- <br /> <br />PHONE <br /> <br />ff /778Z-6Z-ff7 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />b 2 ~ U .- ~/- () '2;( 11- d1.J n..,;; (7) It) <br /> <br />SUBDIVISION .PnrIt141P <br /> <br />PARCEL ID # <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: oNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />;;a'ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />j2tINSTALL <br /> <br />o SIGN <br />PROPOSED USE: oSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />oMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />el/l 5" WI/I4)nvS I fl;~ cA /J1'vit.e ~ ~!(J is <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />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 <br />FORMS. <br /> <br />>> ~~ <br />(~~ <br /> <br />ENERGY FORMS. <br /> <br />...0 BUILDING <br />o ELECTRICAL <br /> <br />$ 1251..1::.1 <br /> <br />PERMITS REQUESTED <br /> <br />r:>LP l ' <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W. R ,}l:'-;C . <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATI <br /> <br /> <br />~4g~ <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 />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES 0 NO <br /> <br />; ~~- "';-:-"~!" '-"'-~" - -~,- -::~-,:-~-::, -""'- H'-; "- " ~-.--,,'- -----~.,,- :-- ;;:--:;""~I-;~T-;-:~~ _,~' <br />U d"C J t's, <~ I f < 1 ~. + _ ':; :' f,:..l . "~;:;'1:~U/":-rf.""~~:r_' <br />ll.........;..,~__~~ ~ ~~ ."'""'-~""' ~ &'.l-~~~_~ .t;;;.,->>- L~ N_~,.e _ _ ",,",-,~L,,:~ :...".L.. _ "",,..J. ~~;: ~ _.4. _ ~ ~~_ _ ~ _ _ _ "_ _ _ _ _ _ _ _ _'....... I ~...~ A_...."--~. ~~...=...__ _ ~__:~ _ """~ ~~~........""'" &~......,~~;:: ~""~, <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 />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER 1-d7'~, ~ I J/G <br />SIGNATURE lJL:J.' ~ <br /> <br />COMPANY ~S /~ (p".JJ;,~ /~ <br />STATE CERT OR REGIST # c.rqC IS?) f~/7 <br />