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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />~UILDING DEPARTMENT 5335 aTH St, Zephyrhi.lls, FL 33542 <br />a13-7aO~0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />I /a-'-\I()~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME kt"J7)v\.A Z/. 'h b <br />JOB ADDRESS 3'1 (!Jot) ] fit fll/c. <br /> <br />PHONE <br /> <br /><oJ ;. <br />. . <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />4s- <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # l'~-)L-~)- be7.l0-~\\OC) - 0~.,-C) <br /> <br />/OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />, WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />~EPAIR <br /> <br />/Q"INSTALL <br /> <br />OSIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# 'OF UNITS <br />o SWIMMING POOlJ <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />.~€- -~oo1 <br /> <br />BUILDING SIZE <br /> <br />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 />PERMITS REQUESTED <br /> <br />- <br />o BUILDING <br /> <br />$ J~O(l). 00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />. AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL $ <br />o GAS ~OFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 AREAO YES <br /> <br />o NO <br /> <br />~_(-;';,.'7Tn,..,~"~..-'~---:-~-;--~-----::-:--'--: ~l""':j,'~-~;:-;TI~~." :~,.. <br />i::\\.il'r :[' 11,1.~\r~1';~~}n~i:._~~\\III\~.i II 1 I t .lj.,~ql! r 1'(( '1./ 1 ), I ll"li );1'lr; 'l'l lr.~1 tl~., 1-~~"1 ,'I_~'jrjht 11:~rjKl~~~:Jr~ 1_'"' 'I i , <br />f~ ~1~lERillftB1ih~lli:i.r.~:~ill .11'~I.\~lrl.;:I'I~'Jr, 11;I;J1JI::....1({"f,"{.... .~ l I,:r.\ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />**************************************************~*************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE GERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />,0 <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />. COMPANY <br /> <br />" <br /> <br />SIGNATURE <br /> <br />J ~(U- <br /> <br />***************************************************************** <br /> <br />STATE CERT OR REGIST # <br /> <br />OTH~R ,,~ <br /> <br />SIGNATU ' <br /> <br />COMPANY R11fv\w"\ ~(') ~ ,1 ~ J <br />STATE CERT OR REGIST # Gt~~ J3~~-OS- <br />