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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUlrING DEPARTMENT 5335 8~H at, Zephyrhi11s, FL ~J3542 <br />813-780-0020 FAX: 813-780-0021 <br />. ,1 DATE RECE lVED z.. <br /> <br />PHONE CONTACT FOR P~=J~ ~ S (J 910Q <br /> <br />OWNER'S NANE A \ \. <c Y"\ L, N\ ~ t), s:s ( C PHONE 61 Z - --r ( 0 - O~D 'c... <br />JOB ADDRESS '.~ 5 -3 k::, ~u..A.AY\O l \ ~ ~ 'Z--~f \r-ty; iu 'l~S~q'A <br />LEGAL DESCRIPTION: LOT(S) Z-~O BLOCK SUBDIVISION11YU<AoJZ..cQ. ~Ol i\t- <br />- <br /> <br /> <br />PARCEL ID # <br />WORK PROPSED: ~EW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <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 />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Oft OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />. p RES:rAURANT <br />~~ <br />32- <br /> <br />& HEALTH DEPARTMENT APrROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />1"Lx. <br /> <br />SQUARE FOOTAGE <br /> <br />3'Dq <br /> <br />, <br /> <br />HEIGHT 1 Z- 1 <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 <br />FORMS. <br /> <br />ENERGY FORMS. <br />c.T! <br />t-~ <br />Q.c:' fl'.~ <br /> <br />tJD <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />"'-PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />IoG6. cS'O <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />1"'-----.- -.O' . ....-.--' ,- -, . - ; - - .------- .-- -- -. - ,"' - , . - - -- -,--' <br /> <br />L.'...:...__-'--- ____._____,"_______.__.___ __~__------_.- ___._.1 ~_._____~~_--." ,I', <br /> <br />BUIIDER <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 />- <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />*****************************~~********~~*****.*************.**** <br /> <br />. Cc~,~ Y)~~ ?~~ <br />~ . COMPANY. "'-1"- ~ - <br />~ ~. "- STATE CERT OR REGIST *' 00 (0 4-8 f.Q I <br />****************************************************************** <br /> <br />PLUMBER <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 />