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<br />}ljOJlCl~ 1..- <br />Ct.. r"(\~u... - <br />"""R', ""'" {2/ ~ a ~l Pi ~!.<H, I t'1 "J PHONE { 6 l '2:;J 'In ~ · 71.J'7"1 f. ~/ i~~ <br />JOB AmlRBSS I S um y \ r-e (r ni, O~ ~ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPARTMBNT 5335 8'" st, z.phyrhiU., PL 33542 <br />813-780-0020 I'AX: 813-780-0021 ,,' _ <br />DAn RIICBIVBD ~ - ''l-C W <br /> <br />PHONB CON'l'ACT I'OR PBRMITTING Q~\) 44 l-8'l5&f <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID #~IQ\\()c)\6\~C)\t):J\O <br /> <br />SUBDIVISION <br /> <br />IOR'I'ATN FROM PROPRR'I'Y TAX NO'l'TC":Rl <br /> <br />WORK PROPSED: oNEW CONSTRUCTION o ADDITION oALTERATION o REPAIR o INSTALL <br /> ~GN o MOVE 0 DEMOLISH <br />PROPOSED USE: oSGL FAMILY DWELLING oMULTI-FAMILY 0# OF UNITS o MOBI LE HOME <br /> ,JqCOMMERCIAr.jotn~ o INDUSTRIAL oSWIMMING POOL o OTHER <br /> <br />DBSCRXPTION 01' WORK <br /> <br />o RESTAURANT ,. <br /> <br />jY\~\l(\1\~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEALTH DEPARTMENT APPROVAL . <br /> <br />or (\OLL) wa1\ 'B\'gr:L~ 0=f\ao ,efxJ&tlri~ <br />~I'&r' \\ <br />(\0(\- <br />llkJ.'l1lnCltd <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS,. (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS,. (ll SET ENERGY <br />IF SIGN PERMIT 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 />~UILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANI CAL <br /> <br />~-~-~.PERMITS REQUESTED <br />$ (JO '"1.::.l0~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />do.DO ~ <br />U24-. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <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 MEAD YES 0 NO <br /> <br />~~P;~{,I~;'- <br /> <br />'BUILDIIR <br /> <br />CCMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PWMBIUl <br /> <br />CCMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />STATE CERT OR REGIST # <br /> <br /> <br />MllCHANICAL <br /> <br />****************************************************************~.* <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br /> <br />*****************************************~*********************** <br /> <br />COMPANY A n. S s';q YlS Ifle. <br />STATE CERT OR REGIST # er 000038 I <br />PtWcO 1,'cel1.K4r ESoc..-g(pLjO <br />