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<br />I I <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE lVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME Robe v+- 1-/,,/ {( VLj~I-15 <br /> <br />JOB ADDRESS '3 8' ~ 3f' f>{)' [, /t Je <br /> <br />LEGAL DESCRIPTION: LOT(S) I BLOCK <br />( J I 06) <br />PARCEL ID # i..... v <br /> <br />PHONE <br /> <br />SUBDIVISION <br /> <br /> <br />uo <br /> <br />0010 <br /> <br /> <br /> <br />WORK PROPSED: o NEW CONSTRUCTION o ADDITION oALTERATION o REPAIR o INSTALL <br /> ! <br /> DSIGN i o MOVE 0 DEMOLISH <br /> I <br />PROPOSED USE: DSGL FAMILY DW~LLING oMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> ! <br /> o COMMERCIAL I o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c=J R STAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK 'K <.. v (.,. v+- v-J <br /> <br /> <br />~' <br /> <br />s ~;vt.\ ,,5. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT <br />COMMERCIAL: ATTACH (3) SETS <br />IF SIGN PERMIT ONLY (2) SET <br />PROPERTY SURVEY <br /> <br />PLANS & (2) SETS OF BUILDING PLANS <br />OF BUILDING PLANS & (1) SET ENERGY <br />OF ENGINEERED PLANS REQUIRED. <br />REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />o BUILDING <br /> <br /> I <br /> I <br /> I <br />$ 27ju f <br /> AMP <br /> ! <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />SERVICE <br /> <br />o Progress Energy 0 <br /> <br />WOR.EO<<1 s S <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />I <br />o ROOFING 0 SPECIALTt <br />TYPE OF CONSTRUCTION: 0 BLOCK I <br /> <br />I <br />FINISHED FLOOR ELEVATIONS <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************l************************************************* <br /> <br /> <br />ELECTRICIAN I COMPANY <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />****************~************************************************* <br />I <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 />************************************************ <br /> <br />OTHER <br />-? <br />SIGNATURE _.,~ <br /> <br /> <br />COMPANY <br /> <br />~~l~) <br /> <br />STATE CERT OR REGIST # Cc C 0j 7 1(-' 7 <br /> <br />)( '" H 1314ckh4 ~ <br />