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<br />-lP <br />4 ~9'0 <br /> <br />CIjI'Y OF ZEPHYRHILLS PERMIT APPLICATION ';)._,"-cKO ',€('rru.;I;- <br />BUIrING DEPARTMENT 5335 B'lB st, Zephyrhil1s, FL 33542 1--SS'<<:,w-~-2'-\- 'T~lY <br />a13-7BO-0020 FAX:B13-7BO-0021 <br />,1 DATE RECEIVED \3-/, ~ / O'~ <br /> <br />PHONE CONTACT FOR PERMITTING L-~&:r g:;...lf7fl1'f <br /> <br />1/))/ <br />70ur <br /> <br />LEGAL DESCRI PTION: LOT (S) d- 69 <br />;)J-f/;)'/p -- ~I-- t1 () 8lJ-otJtYJd-dIo q 0 <br /> <br />WORK PROPSED: ~W CONSTRUCTION <br />DSIGN <br /> <br />OWNER'S NAME <br /> <br /> <br />BLOCK <br /> <br />:"-7&b-~J/f7gCf <br />~ Fi.3 3810 <br />E:tr;tJfald, HJ'rt/e; <br /> <br />JOB ADDRESS <br /> <br />PARCEL ID 41= <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Of OF UNITS <br />o SWIMMING POOL <br /> <br />~OBILE HOMI <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />D RESTAURANT <br /> <br />IIUJ til <br />l ;).. i Lf fL <br /> <br />& HEALTH DEPARTMENT APfROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />'t :::; dMJ1 r IJ ~ n1 <br />SOil f. <br />SQUARE FOOTAGE 7 <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />~ILDING <br />~LECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />,,-- <br />, 2.., ~~." <br />dJ <br />$~-E <br /> <br />@ <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <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 />~~=-~~..~~~ =~~~~~~~=~=_:~~~~__-___~__~__=- - - ~ -~--- --~_:__~ _ ~~~ - ___ ~ _____~~I- -, -- - --~. r, <br /> <br />SIGNATURE <br /> <br />COMPANY Otuhe4' 14-1, ,.0 <br />A~~Af~~Ih1~~ STATE CERT OR REGIST f <br />rx~:::*:::*~:;:~~~~::~~::-~*************************************** <br /> <br />\ <br />1.1 - Q'" <br />~I ).. <br /> <br />BUILDER <br /> <br />7 <br /> <br />:::::::';Mtlfhfl;/~j~kf- ::::::ERT ':::8T i <br /> <br /> <br />************************************************~***************** <br />b~,5~ <br />COMPAN'0 Lfj lu~: r If A)fu l:AP)l.h...- <br /> <br />STATE CERT OR REGIST 41= <br /> <br />PLUMBER <br /> <br />,-s-liLJJL <br /> <br />~~h~ <br />s (_ 4~'"'"\ <br />( f'.\)\'w'\~ ! <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST f <br /> <br />********************************************~******************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST f <br />