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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPAR'Do8lHT 5335 8"" St:, Zephyrhil1s, FL 33542 ~ <br />813-780-0020 FAX:B13-780-0021 . ~ fJ <br />DATE RECEIVED <br /> <br />Contractors Permit #543123 <br /> <br />Q \ I. <br />OW~f}' S NAME . l/ /2..- j/VO S <br />JOB ~~SS ~"<-!,Iojl Gall Blvd., Zephryhills, FL 33541 <br /> <br />PBOItE CONTACT FOR PlU\MITTl:NG <br /> <br />PHON" <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUEDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTATN FROM PROPERTY TAX NOTTCRl <br /> <br />"lORK PROPSED: Ol'EW CONSTRUCTION <br /> <br />O:"IGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />Oi\LTERATION <br /> <br />o RE?AIR <br /> <br />o I1\STALL <br /> <br />o DEMOLISH <br /> <br />REMODEL <br /> <br />PROPOSED USE: OSGl FAMILY DWE~LING <br /> <br />~ULTI-FAMTLY <br /> <br />OJ! OF UNITS <br /> <br />o MC~R TT.F. HOMF. <br />o OTHER <br /> <br />Or:ONJvfERCIAL <br /> <br />OINDUS':'RIAL <br /> <br />OSWIMMING POOL <br /> <br />DESCRIPTION OF WOlilK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />Relocate 17 fire sprinkler heads <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT Under 20' <br /> <br />RESIDENTI!I.L: ATTACH (2) PLOT PLANS & {2} SETS OF BTlLDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3] SETS JF BUILDING PLANS & (I. SET ENERGY FORMS. <br />IF SIGN PEmur ONLY [2 i SETS OF ENGINEERED PL,I\NS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW '":0NSTRlTCTION. <br /> <br />o BUILDUIC <br /> <br />$ <br /> <br />1,500.00 <br /> <br />PERMITS REQUESTED <br /> <br />VALUI,TION OF TO'::'1\L CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUBBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Enerqv 0 <br /> <br />W.R.F.C. <br /> <br />$ <br /> <br />VALUAT:ON OF MECHANCIl',L INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />[] SPECIALTY <br /> <br />II OTHER <br /> <br />Fire Sprinkler <br /> <br />T"PE OF CONSTRUCTION, 0 BLOC:, <br /> <br />o I"RNlE <br /> <br />[] STEEL <br /> <br />o OTHER <br /> <br />{\ L/530 <br /> <br />F:NISHED FLOOR ELEVATIONS <br /> <br />IS F~OJECT IN FLOOD ZONE AREA[] YES <br /> <br />o NO <br /> <br />I~_~ <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMP.II.NY <br /> <br />SIGNATU?E <br /> <br />STATE CERT OR REGIST ~ <br /> <br />+*~****+~**+*+*y*.****************~**.~*****************~*********~ <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REG:ST # <br /> <br />.****+*~~~*++~*~*.*~.+**+****.**.~***.~~~~**.~)********~******~****** <br /> <br />PLUMBER <br /> <br />COMF.l\.NY <br /> <br />'::TGNA'~'URE <br /> <br />STATE :ERT OR REGIS~ # <br /> <br />MECHANICAL <br /> <br />*+***+++**~.**+**+*~******+***+*+*~********************y*********~ <br /> <br />COMF.1I.NY <br /> <br />SIGNA'::'URE <br /> <br />ST^TE ~ERT on REGIS~ # <br /> <br />~+*****+********************+*~**************+******************* <br /> <br />""""" Fir. sprinkl~r C~"" Hans.llnno.alions Ine <br />'K~^,"RE ~ . .~ mn oc"' 0' Me", ,31403400012001 <br />