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<br />.. <br /> <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 RECEIVED <br />PHONE CONTACT FOR PERMITTING ?P J L-.Jl0 ,J ll.; <br /> <br />OWNER'S NAME <br /> <br /> <br />PHONE <br /> <br />C)LtU.' )113 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: <br /> <br />LOT(S)~ <br />i <br />I <br />CONSTRUCJIoN <br />I <br />I <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />WORK PROPSED: 0 NEW <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />.)Q INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />/" <br />PROPOSED USE: CisGL FAMILY DwjELLING <br />I <br /> <br />o COMMERCIAL <br /> <br />oMULTI-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 />c:J R STAURANT & HEALTH DEPARTMENT APPROVAL ( <br />d ,~ (1 . (u( -I /1 ,- ,:'11 <t ( <br />l \.. ._ . \ .JC-" \L \ <br /> <br />/~;"eLJ ;-f-1ioj <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />i <br />RESIDENTIAL: ATTACH (2) PLOTI PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETSrOF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SET OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />i <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />, ,.., C'. !l'" r \ <br />$ 1- -' '. '. <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 SPECIALT <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 />'\, . (-- <br />\ III <br />I \l/ ,tA.k,v <br /> <br />i ',Lll\..l\.( <br /> <br />STATE CERT OR REGIST # <br /> <br />**************** ***************************************~,********* <br /> <br />ELECTRICIAN COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />****************~************************************************* <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />I <br />****************************************************************** <br /> <br />MECHANICAL COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />**************** ************************************************ <br /> <br />OTHER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br />