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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIrING DEPARTMENT 5335 8~H st, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 a. ((, /0 I, <br />,1 DATE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />d~ " I L :J>t~ <br />OWNER'S NAME ;;;/ e Ce?~ Itl.. kif of' ;t4ff e tv--,,[.- PHONE. ff/3 r 78,1 M 6/ICL <br />JOB ADDRESS . ~ r'~ ~)')n/t' ~ . Cj,fJ.er-. f- ~ WI- t.1 ..\-0 I.-b\- 4-~ <br />LEGAL DESCRIPTION: LOT(S) () 1.((:; BLOCK (!)oooO SUBDIVISION O/;.jo <br />PARCEL ID *' 0:5-;{/d.- ~/" C'),,;J.)O. oo600-0>4{OIOBTAIN FROM PROPERTY TAX NOTICE) <br />- , <br /> <br />WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR <br />DSIGN ~VE 0 DEMOLISH <br />PROPOSED USE: ~. FAMILY DWELLING OMULTI-FAMILY 0* OF UNITS <br /> <br />o INSTALL <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />~~BILE HOMI <br />o OTHER. -t <br />.... '( <br />~' i_ <br />Qt,( S u. ~"e <br /> <br />DESCRIPTION OF WORK f1/I (")cJ I!.- <br />/' .., ) ./ /..... ) <br />BUILDING SIZE _d.. L L!L. <br />. / <br /> <br />o RESTJ~.uRANT <br /> <br />f/:(IJ bIle <br /> <br />& HEALTH DEPARTMENT APrROVAL <br /> <br />~ t(euJ tt) of <br />6DO I <br /> <br />;10 ij.I P <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />~) <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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />N.o.c... _ <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />~ ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ {g~,C5t) VALUATION OF TOTAL CONSTRUCTION <br /> <br />I <' 0 AMP SERVICE 0 Progress Energy 0( <br />C}."" c; Cl L1' <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK 0 FRAME <br /> <br />FINISHED FLOOR ELEVATIONS ;/5)1 e. L3 .bll <br />o (3dVe. {3 it 5 e ()r<<- tk' e..- <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />~. <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br /> <br />BUILDE <br /> <br />S <br />STATE CERT OR REGIST * ~~~"{J b\)~ ~ ) <br /> <br />************************************************************* <br /> <br />COMPANY E~)l/II6P)f))fAJldL. ~,()~rIU~TDtS c&i.j <br />STATE CERT OR REGIST * e (l.. /) 0 t J ,; 3 K <br /> <br />ELECTRICIAN <br />SIGNATURE ~})Oj1 ~. 9jVV"'f~ ~r <br /> <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY ~..\".r:~<"~S ~k <>.,,~ ~-\-~~ <br />STATE CERT OR REGIST *' .~ ~()OO~ l\ ~ ) <br /> <br />************************************************************* <br /> <br />COMPANY <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br />