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<br />CITY OP ZEPBYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 a'll! St, ZephYJ:hills, FI.. 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />OATE RECEIVED <br /> <br />PHONE CON'l'.AOT FOR PE~ITTING <br />JOC. <br />of FL PHONE ~ID-1.8"Q-01d5, <br />nc..Y) D (<.,1 \I ~ <br />LEGAL DESCRIP'rION: LOT (S) 4. L BLOCK 3~_ SUBDIVISION~~a..n..ch. <br />PARCEL ID # ~ - 2(c-)..\ -0 lOO- O.3'tOO - OO~\ (OBT~IN FROM PR0PERI.Y.....Tl\X NOTICE) <br />WOFl.K PROPSED: ONEW CONSTRUC'I'ION 0 ADDITION OALTERATION 0 REPAIR X INSTALL <br /> <br /> <br />OSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-'fAMILY <br />o INDUSTRIAL <br /> <br />0* OF UNITS <br />o SWH1MING POOL <br /> <br />o MOBILE HOME <br />~ OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ <br />JoO fttn{L-Pole +0 <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />Power LjR- uta-h'of\ <br /> <br />BUILDHjG SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT ____ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) SET ~NERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMI'I' ONLY (2) SETS OF ENGINEERECt PLANS REQUIRED. <br />PROPEFl.TY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />J( ELECTF,ICAL <br />o PI.,UMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUAT!ON OF TOTAL CONSTRUCTION <br /> <br />CoO <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.Fl.E.C. <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: [] BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED n,OOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES [] NO <br /> <br /> <br />Bun.oZR <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN <br />SIGNATURE~ClA-~ <br /> <br />****************************,.~***~******************************** <br /> <br />COMPANY~+ P80~ 8fe.ck1c... JI\J~ <br />STA'rE CERT OR REGIST # -.E.R. 00 \IfSq L <br /> <br />&., (/-~ <br /> <br />**************************************************~*************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNNI'URE <br /> <br />S'rA1'E CERT OR REGIST jI <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 /> <br />, , <br />Ci <br /> <br />fltnQ'ON <br /> <br />'::ll'W\.IJLUJ7 H, j I 1'1 <br /> <br />11.1\.177'0 .,,'() 7 ,77, IDllI <br />