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<br />CITY OF ZEPHYRHILLS PERMIT APPLICAT~U~ <br />BUILDING DEPARTMENT 5335 8~H st, Zephyrhil1s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />DATE RECEIVED <br />PHONE CONTACT FOR PERMITTING <613 IS~ Cf5d--O <br />. 0ck-AJorrhrlLp <br />1110..(::1-/c. fu/c LL C PHONE Sr3 783 ?51 g <br />395'd (lypre.9$ Mi/1 f Li2n-G . <br />SUBDIVISION <br /> <br />BLOCK <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />DSIGN <br /> <br />o ADDITION o ALTERATION o REPAIR ~TALL <br />o MOVE 0 DEMOLISH <br />DMULTI-FAMILY 0# OF UNITS ~LE HOME <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT <br /> <br />-;r;f1:~) kr I <br /> <br />& HEALTH OEPAR~T AFPROVAL <br />~ 11 ~f.{JA UV\-Q, <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 />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />tI ~o Y: <br />// <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br />~UMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <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 <br /> <br />o 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 />PLUMBER','" COMPANY ~f~ VJ~:J)llAmb <br /> <br />SIGNATUR~O\A..CLa.,-L.l)~ STATE CERT OR REGIST ~c 14-J..560d- <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 />