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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />I <br />BuiLDING DEPARTMENT 5335 8TH St, ZephYJ:"hills, FL 33542 <br />I 813-780-~020 F"'I:""3=7B~:~~21 DA~~TD <br /> <br />. PHONE CONTACT FOR PERMITTING (&13) <br /> <br />C~VI!; h~bo+f- <br />JOB ADDRESS 4 tf LfL/ J 7 /-L. ..rf. 2~'rv~I/J FL. <br /> <br />LEGAL DESCRIPTION: LOT(S)~ BLOCK ~ <br />\~-d..(o -d.-\-CD\O-O[)kn -0' ~ 0 <br /> <br />7/ Lj ~ 5" 77 g <br /> <br />OWNER'S NAME <br /> <br />PHONE (fry 7/ tf ~ 9070 <br />3'3~Y2 <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />DSIGN <br /> <br />~ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />9,RESTAURANT & HEAL;H DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK .AJJ ON 10 ~'x;3h~ r:J>r~ue 0~r <br />BUILDING SIZE \(! - ~ a.../ I SQUARE FOOTAGE I~ <br /> <br />HEIGHT <br /> <br />JD' <br /> <br />~ILDING <br />o ELECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. J <br />,Joe... _ <br />W/c. L ~ <br />Iolr>r. ~-\t'I L +v./ ~ <br />{/Iot- ...JoL <br />}....,C!- - <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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />$ <br /> <br />tj S-tjS: (1-0 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <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 AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />>,:;If,;:n' <br /> <br />t <br /> <br />COMPAN~ '" ~ ,. - Pi 11 - _ _. .~ <br />STATE C R.T ORREGIST # --t <br />. ." " f <br /> <br />L.. _. __.... ~ __... ~ , <br /> <br />OTH <br /> <br />SIG <br /> <br /> <br />,'i' <br /> <br /><':~~.; v. .~.. <br />