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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIILDING DEPARTMENT 5335 8~H st, Zephyrhi11s, FL ~13542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />,1 <br /> <br />DATE RECEIVED <br /> <br />l2- 7-0rs <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />U ILL.it'V4 <;:.~ v f\..IL~~~<; <br />C, ~/l V I L~O f2 A--J I,V~ <br /> <br />PHONE <br />. '2-J- \ \...L- S <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID * <br />WORK PROPSED: ONEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE! <br />o ALTERATION 0 REPAIR ~INSTALL <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Oft OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />~THER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH UEP~T APPRUVAL <br />r r7/11, ( (9 ~ ~ ~~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 PERM~T 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 />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />~LUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy [J <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <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 />,_ ~,_'_" ." ~,,' -.".,-,- --'--T'- ,- .,. . , -.-'.-----'- .,' --- -" -,. .. .' - - --. ' -,---,-~, -'~' <br />~ I '" " ' ' , <br />I' " " ' : ' ,I ,I, ' <br /> <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 ft <br /> <br />************************************************~***************** <br /> <br /> <br />COMPANY rror;> 0 H M "- g-r{:A,. I {l f? ( (0 <br />STATE CERT OR REGIST * be; '-\- 0 'i: <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />MECHANIC <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 />