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<br />CITY OF ZEPHYRHILLS PERMIT APPLICJ~'l'.lU!\4 <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhi11s, FL, 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DA~?E RECEIVED <br />PHONE CONTACT FOR PERMITTING iC;J-, ~ p- <br /> <br />OWNER'S NAME {Y),.q -:r tZ. )--z:C ~A K,J Rl c <br />JOB ADDRESS .' 3iJ55J- f}q~ )J~d ~. <br /> <br />PHONE (, qs-- (.,'C) 9 g- <br />). " -r )?J- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />Pl\RCEL 10 # <br /> <br />';;:>4 -;;;:Jro - ~/-oooo'- GOIOd <br /> <br />oo?c (OBTAIN FROM PROPERTY TAX NOTICEI <br /> <br />· I <br />WOR~ PROPSED: ~ CONSTRUCTION <br /> <br />DSIGN <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />[] REPAIR <br /> <br />o nlSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-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 />~~~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />GdcJ <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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ /'C:CX)" e> C~ <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 AREAD YES 0 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 <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 />OTHERg"./-f, ~h~ COMPANY~.r///O (?c7h~e <br />~~ <br />SIGNATURE J _ <br /> <br />/----:> ~ <br />/t-:. \ <br />, <br /> <br />STATE CERT OR REGIST <br /> <br />( "2 -,#.,t.,U!/';- <br />~/-~ <br />