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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIrING DEPARTMENT 5335 8!!H st, Zephyrhi11s, FL :33542 <br />813-780-0020 FAX: 813-780-0021 1-3---/1'1/0<:'-- <br />, J DATE RECEIVED ~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />t:{ (; U A L f) n II d m t:l t/>.JA/J R J IJPEI.I c:. PHONE 6' /..3- 7(';; -, 7.f..r ~ <br />Sqq i.J. c;t!:>. .s; r, <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT (S) // -f /:;J. BLOCK /..3 t:, <br />PARCEL ID # J/- ~t-. -- ~ / -c>~ I {) - /3~t!JlJ -cJ Ill> <br /> <br />SUBDIVISION <br /> <br />IOBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION [JADDITION [JALTERATION [JREPAIR o INSTALL <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: [JSGL FAMILY DWELLING [JMULTI-FAMILY [J* OF UNITS [J MOBILE HOMI <br /> [J COMMERCIAL [J INDUSTRIAL D SWIMMING POOL DOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APfROVAL <br />/ <br />n~AJA (1JFAJ7PJL- f:f-/VGC j,q/) <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 />[J BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SER:VICE <br /> <br />[J Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />D MECHANICAL <br /> <br />D GAS <br /> <br />o ROOFING <br /> <br />D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />'0 OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES [J NO <br /> <br />v . ~ .---' --- .. - ... - - -'''' - . -- -~ - - . . ! .- .. - - -- --- -- . - , . -. - . .. - ... -. ~ "'- -. -. -., -... , <br /> <br />~_'-_..~_......:...... __L....-'-.._____._____ _" _____~~. _____:...______ _. __' - -'- ____ ,__ ___~__-~ ' I <br /> <br />COMPANY <br /> <br />AdPJ--U->~W"h-C'V <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <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 <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />