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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUIrING DEP":~~O-"~;;o B:~~ ;':3~hio!;,~;~s, ::::wao.:~i I: J~~c" <br />"I -uo6.824-^, b9Li <br />PHONE CONTACT FOR PERMITTING "( 'I ,- <br />'l' rl(?(! <br /> <br />JOB ADDRESS <br /> <br />i1LJ <br />39 '/9 <br /> <br />t-r-e9() <br />fI/~)C(skr I)l/ff <br /> <br />/ (J(y <br />.J- tj~1r .-,) /-- 0 () 'I d - 000cJJ- / () I.c 0 <br /> <br />PHONE /- J'tp~ -, tct?':. 7f7t <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION tif 'Ef;',Rr~AI./l;/~1t. <br />~ r ~p.J(1r 1- <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Of OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br />/ iJ- Y- .3 7 (} a -L ptJr I- ("If) -i Y IrS/-. \f /0-6 <br /> <br />SQU~RE FOOTAGE t..jtjtj I <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />/J '137 <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. ~oc.-:"- #V" <br /> <br /> PERMITS REQUESTED <br />r4 BUILDING Ct, If,)O . fYJ <br />$ VALUATION OF TOTAL CONSTRUCTION <br />, <br />o ELECTRICAL AMP SERVICE 0 Progress Energy 0 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 />. 0 OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />BUIWER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />~~s/a C~ I~/( <br /> <br />STATE CERT OR REGIST f <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />, <br />STATE CERT OR REGIST t <br /> <br />************************************************~***************** <br /> <br />COMPANY <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST f <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />MECHANICAL <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 * <br />