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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 />.. <br /> <br />DM?E RECEIVED <br />PHONE CONTACT FOR PERMITTING 6<;J-.. "7~ p... <br /> <br />OWNER'S NAME {Y),q 'T e. )-,:C <br /> <br />o A n:.,J <br /> <br />Cl1~ A~ <br /> <br />Rl () <br /> <br />PHONE (,qS.-999 g- <br />/-of 7,.?C, <br /> <br />JOB ADDRESSJq5 J r." <br />. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />Pl\RCEL 10 # <br /> <br />';;)4 -~G, - ~/-oooo'- GC>Joc; <br /> <br />oo?c (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />1 I <br />WOR~ PROPSED: ~ CONSTRUCTION <br /> <br />OSIGN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />[] REPAIR <br /> <br />o INsTALL <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />OSWIMMING 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 />G()c) <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:c."X)'" <If) C'l <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 /> <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 />OTHER~""./~ ('h~. COMPANY~X...'//O (?c7h~ <br />~ <br />SIGNATURE J _ <br /> <br />,---? ~ <br />/r.,.{- <br />, <br /> <br />STATE CERT OR REGIST # <br /> <br />.- <br /> <br />2-uII~) <br />~/'~ <br />