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<br />CITY OF ZEPBYRHILLS PERMcrT APPLICATION ~ <br />BUILDING DEPAR'l'MBN'l' 5335 8.... St, Zephyrhill.a, FL 33542 J1;I/'? ~ i _ ;; [) - ()0 <br />813-780-0020 FAX: 813-780-0021 ~pi .,nr., - <;?:;:5 <br />DATE RJ!lCEIVBD,' <br /> <br />PHONE CON'l'ACT FOR PERMITTING "\ ~ "'"\ . -S '3 CO -"0 ~\ '- Ii <br /> <br />OWNER'S NAME ~ f\ '::) "O~, L. ~ <br />JOB ADDRJ!lSS ~ eeO\ \ \O~...~~e:... <br /> <br />A~~. <br /> <br />PHONE ~\~ -""\ ~1b-~~ \\ <br />-z. I ~\\:> ~ ~"S "'\ ~ <br />, <br />\"'\ ~ 4....~ I.. ~ (bo~dS <br /> <br />LEGAL DESCRIPTION: LOT (S) 00 c:> C) <br /> <br />PARCEL ID # <br /> <br />\~ <br /> <br />';t.l.. <br /> <br />~, <br /> <br />BLOCKbOaOC> SUBDIVISION 00 0 <br /> <br />0000 om.DO 600D <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ClNEW CONSTRUCTION <br />DSIGN <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />DCOMMERCIAL <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />Cl REPAIR <br /> <br />~NSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />Cl INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~BILE HOME <br />[J OTHER <br /> <br />D <br />DESCRIPTION or WORK t-\ 01\8 -, \!. <br />lO~"\~ <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />?\co~ o~c.('" <br /> <br />~~ <br /> <br />~ 0 ~"AS <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />~6.0 <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. .\A'__ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~l/L- <br /> <br />~UILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />PERMcrTS REQUESTED <br />00 <br />$ :t~ ~ l. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <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 YE:S 0 NO <br /> <br />C~R SBCT%OH <br />BUILDER. J COMPANY ~(\t\~~~- \ //' fJ)( <br />SIGNATURE~ ~ ~O STATE CERT OR REGIST # <-'i\~ \"~a\,p~~~ <br /> <br />*********************~~1*~************************************* <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 />HBCBANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />O'l'BER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />