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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDrHG DEPARTMENT 5335 8m St, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME St \. \Cl. Y t \.DooM PHONE ~\ 3> - -1 r"R - i ~ -, PJ <br /> <br />JOB ADDRESS 5 LO:;\ 0 C ~ P(f'5S ~t. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISIONZP\-f\~rr\\ \\~ \O\m~ (()m\JO.f\~ <br /> <br />PARCEL ID it I d - dUJ - 8 \ ,. WlDh- (,eN c) - ( .2 4<d)RTA TN FROM PROPF:RTY TAX NOTTeF:) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION [J ADDITION [JALTERATION [J REPAIR I!1rINSTALL <br /> [JSIGN [J MOVE [J DEMOLISH <br />PROPOSED USE: ~GL FAMILY DWELLING [JMULTI-FAMILY [Jf OF UNITS o MOBILE HOME <br /> [J COMMERC IAL [J INDUSTRIAL [JSWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK .sn,1\31f'. (pr~ <br />BUILDING SIZE SQUARE FOOTAGE <br /> <br />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 />[J BUILDING <br /> <br />PERMITS REQUESTED <br />$ '\ as{) .CD <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />[J PLUMBING <br />[J MECHANICAL $ <br />o GAS ~OFING [J SPECIALTY <br /> <br />AMP SERVICE <br /> <br />[J Progress Energy [J <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />(]}-OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES <br /> <br />~O <br /> <br />COIl'l'ltACTOR SBC'rIOR <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />x <br /> <br />STATE CERT OR REGIST it <br /> <br />*****************************************************************,~ <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />'l <br /> <br />STATE CERT OR REGIST it <br /> <br />*****************************************************************~, <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />II <br /> <br />STATE CERT OR REGIST it <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />;' <br /> <br />STATE CERT OR REGIST it <br /> <br />"'"'" -~.~. ;... ........ ......::~::::..R{ ;:J":S;o'h~~' r t'rdi rtl €?l <br /> <br />SIGNATURE STATE CERT OR REGIST iti2C - ((58 13Y <br />