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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhil1s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE: RECE IVED <br /> <br />I~~s- <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME L f'_D 8. (Y) 1..\ €- '"" \~v-. \:. ~"1 PHONE ~ 13 -- '7 79- i9 t G, q <br />JOB ADDRESS.3 3.Z.? 6Y!C\.,\ l;)..C-~', -\. It b (' . ::2..ef \, '1 v- \... .. \ \ s . '\-1~:3 .~, L/ 0 . <br />.3 q BLOCK SUBDIVISION/31J11Jr~1 !i;n/e-kv <br />PARCEL ID # ;(tf- 4- J2j- {)6 d-O -0 oCJ()(J-();3Cf 0 <br />WORK PROPSED: ~ CONSTRUCTION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <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 />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />ro 0 vY1 <br /> <br />ftd ti " h~ n <br />SQUARE FOOTAGE 3/d.;jI <br /> <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLAN <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERG <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTIO . <br /> <br /> PERMITS REQUESTED <br />~BUILDING $ I q, IlOO. DC) VALUATION OF TOTAL CONSTR <br />~ECTRICAL AMP SERVICE 0 Progress Ener W.R.E.C. <br />o PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 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 />SIGNATURE <br /> <br />~ . . .J, ~PANY KnJ tunIT ('t>U,;,lZtJCnN <br />, I tJ7. STATE CERT OR REGIST # <br />. <br /> <br />****************************************************************** <br /> <br />BUILDER <br /> <br />-- <br />ELECTRICIAN ~~COMPANY ()lA.JAJ;;/!.. i5 ELt= C - C\-)N/. <br /> <br />SIGNATURE)\, ~ ~ ???'~1--~~ STATE CERT OR REGIST t N/ I\- <br />.LJC ~~ <br />****************~lY{********************************************* <br /> <br />1fqy. ~ <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 <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />