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<br />. <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8n St, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />S-3)-oS-- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />/LI_ 26 - <br /> <br />PHONE CONTACT FOR PERMITTING 5-re"Vc ;n~I2I,J <br />, 1!!l 9S'I-C,t;5-tt?l/'L <br />NCXl'Gt.... COlli"'. (L-G5Sf3€) PHONE ~ ~\ 2,- 2..61- DOL, <br />t\ Ve tJ UE \6 r '- E P \-\ R \.j 1-\ \ LLS I Fi.- <br />b / 7 I 'if BLOCK 11 SUBDIVISION <br />2.../ - Co / 0 ~ 0/700 - O{~Rq,t?N FROM PROPRRTY TAX NOTTC':Rl <br /> <br />7O"L <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: []NEW CONSTRUCTION ~DDITION ~TERATION [] REPAIR [J INSTALL <br /> []SIGN [] MOVE [] DEMOLISH <br />PROPOSED USE: []SGL FAMILY DWELLING []MULTI-FAMILY []# OF UNITS o MOBILE HOME <br /> ~MMERCIAL [] INDUSTRIAL [] SWIMMING POOL [J OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />AMJfloAJ 0 P- <br />II, ~ I by 201 <br /> <br />(" tJ J7I /11 'MIle,//- "1L 0 AJ <br />2'2../""1 <br />SQUARE FOOTAGE -.JI-/ <br /> <br />"5I1Etr€/Z <br /> <br />DESCRIPTION OF WORK <br /> <br />HEIGHT <br /> <br />10' <br /> <br />AMP SERVICE <br /> <br />~.M-aI /O~ ) <br />- "i /r-P~~ <br />l.5h~ <br /> <br />'--- <br /> <br />W'R"E'C'~ / [.I <br />J <br />VALUATION OF MECHANCIAL INSTALLATION I J \'J) <br />[] OTHER - \ <br /> <br /> <br />GY FORMS. <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 />~ILDING <br />~LECTRICAL <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />~ ..3 ~ 1 J) 0 VALUATION OF TOTAL CONSTRUCTION <br /> <br />."7..--C-O <br /> <br />[] Progress Energy <br /> <br />[] <br /> <br />[] PLUMBING <br />[] MECHANICAL <br /> <br />$ <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />~HER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [] NO <br /> <br />SIGNATURE <br /> <br />SBCTIOII Iftndrew 5if 5> <br /> <br />COMPANY~t:h~'0"'~' <br /> <br />STATE CERT OR REGIST # ~ "?J3'7.5'-> <br />****:*****************~,*<3,*~1>ec*t2,i L V{M~ 6 ~Mr) <br />I COMPANY 1fJi:~K~ ~~~r'~f/~_ <br /> <br />~: OR REGIST # ~ -:]'5. '~I ~c <br /> <br />******************************~~********************************** }~ <br /> <br /> <br />BUILDE~ <br /> <br />SIGNATURE <br /> <br />PLtlMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <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 />