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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 89 St, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />\ 2 (21 (O'S: <br /> <br />PRONE CONTACT FOR PERMITTING <br /> <br />:':~::~~~~~-M~~~~\ <br /> <br />PHONE <br /> <br />8 j?,- -11 q - S~ 2 q <br /> <br />C'e niex <br /> <br />AVQ, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 3~- d~ - d \ - (X),(). Cam- IORTATN FROM PROPERTY TAX NOTICE) <br />2.0 <br />WORK PROPSED: ONEW CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR GJ-fNSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />GYc:OMMERC IAL <br /> <br />OMULTI-FAMILY <br />OINDUSTRIAL <br /> <br />Ot OF UNITS <br />OSWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />\n~-\(\ \. \ Q\\W()\('L<=)+ f(j)f~ \~U ()\1fr e(\~tln5 roaP <br /> <br />SQUARE FOOTAGE HEIGHT <br /> <br />DESCRIPTION OF WORK <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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />PERMITS REQUESTED <br />s 'llol.\ 0 ,00 VALUATION OF TOTAL CONSTRUCTION <br />~a <br /> <br />AMP SERVICE <br /> <br />o Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL s----D..\a <br />o GAS ~OFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK 0 FRAME <br />FINISHED FLOOR ELEVATIONS ~ <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />~O <br /> <br />COII'1'RAC'rOR SBC'lIOII <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />nl~ <br /> <br />SIGNATURE <br /> <br />n\a <br /> <br />STATE CERT OR REGIST # <br /> <br />n\~ <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />n\;;\ <br /> <br />COMPANY <br /> <br />n\~ <br /> <br />l\\e. <br /> <br />ELECTRICIAN <br /> <br />STATE CERT OR REGIST t <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />nl'C! <br />, f\\~ <br /> <br />**********************************~~~;~~~***************(\*(?=**** <br /> <br /> <br />n l?l STATE CERT OR REGIST j/ {\ \~ <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />\\\a <br /> <br />STATE CERT OR REGIST t <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />****************************************************************~ <br /> <br />OTBBR f:lt. ?-" ( emf' II~ If\r <br /> <br />SIGNATURE ~ <br /> <br />COM"" '3chn p~ ~(\t~ <br /> <br />STATE CERT OR REGIST j/ cC - C05 i . <br />