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<br />CITY OF ZEPHYRHILLS PERMIT APPLICAT~UN <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />(01:27/VS <br />DATE RECE IWD - ,- - <br />PERMITTING 8J?r PC:. 1- 3461- <br /> <br />OWNER'S NAME <br /> <br />po ct(L~ ~l 0 YQ/1\Q <br />-S824'3 'ltnV'KfY JV!- <br /> <br />PHONE <br /> <br />(1)3.- 78"?- U>&b <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />I.. '! -Zb.'~ Z\'_tt...? I I) _ IrK V!..-rm -;,f) tl .11-" <br />PARCEL ID # 'L) L/ V C."'\ rr l.\ U r.... v v 'rV <br /> <br />SUBDIVISION <br /> <br />j)YIH~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION o REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: oSGL FAMILY DWELLING oMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />rzlfL1,vvJfVP(fJS '1YIr.- (D tlA~~vr ofBJJMS <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 />'-2 .~ <br />::> ; <br /> <br />PERMITS REQUESTED <br /> <br />lA43UILDING <br /> <br />$ fla~ .bD <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />~~~~":~~L_~.:..'~-~:~ _~~ c ~~~; _ ~,~ ~~ ~~_~ - _-~~, ~~~--~: ~~ .~_~-.n...._ - .. _ -. _ _ .. _ ,~~.~~: - ~.__-_=,~_ .~=-~~~ ,='-~ _._~~:-' ~-~-~~.-~~~-~ ~~ ~~ z:~;; <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 />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER U:>V\k'; ** ** ** ** ** * ** ** *** **,*~ ** * ** **~:~P~~: * ~~*;]~ ** OrJ l M- <br /> <br />SIGNATURE b~ · STATE CERT OR [{EGIST i C9L IS-064-l{ <br />