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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8m St, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 12'Z. ,O~ <br />DATE RECEIVED ~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME Rorr:rt BLU 9f'M . PHONE 8\3~ l82 -02\G <br />JOB ADDRESS loOLl\ ~ lDth st. zep\l'j~'\\\ \\~J F\ '?>3'5,--\2. <br />LEGAL DESCRIPTION: LOT (S) 4 BLOCK SUBDIVISION PQl (. hi 1\ ~l)b 01\\-t \ <br />PARCEL ID # 02 - 2 (0 - L I - 0 \ ~6 - Ocx:aO (OBTAIN FROM PROPF.RTY TAX NOTIC:F.l <br />-OOl..\O <br />WORK PROPSED: ONEW CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR GYINSTALL <br /> <br />OSIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Of OF UNITS <br />OSWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK S)) \ \)9 '\e '-E' f 00 r <br />BUILDING SIZE SQUARE FOOTAGE 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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> PERMITS REQUESTED <br />o BUILDING $ 48<0\ 50 <br /> VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL (")\8.. AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />o PLUMBING <br />o MECHAN~ $ '(\\~ VALUATION OF MECHANCIAL INSTALLATION <br />. <br />o GAS ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br />(lla <br />, <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br />BUILDER <br /> <br />COIl'1'RAC'1'OR SECTION <br />nIB <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />n\~ <br /> <br />STATE CERT OR REGIST # \\\~ <br /> <br />*****************************************************************,~ <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />n\~ <br />. <br /> <br />n\f' <br /> <br />SIGNATURE <br /> <br />(\\~ <br /> <br />STATE CERT OR REGIST # <br /> <br />*****************************************************************,~ <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />n\fl <br /> <br />n\C\ <br />. <br /> <br />SIGNATURE <br /> <br />\\\0 <br /> <br />STATE CERT OR REGIST # <br /> <br />MECBJlNlCAL <br /> <br />*****************************************************************,t <br />n\A <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />,,\C\ <br /> <br />STATE CERT OR REGIST # <br /> <br />n\Q <br /> <br />***************************************************************** <br /> <br />~BER \X1~ <br /> <br />SIGNATURE <br /> <br />o ,n~c. <br />~CX''Jt\ J COMPAN <br />STATE CERT OR REGIST f <br /> <br /> <br />\(\Q, <br />