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<br />(P;~\~~' <br /> <br />/0 <br />'1y~1--:' <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ St, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />\13010(., <br /> <br />DATE RECEIVED <br /> <br />O~'R" N~' ~ ~# <br />JOB ADDRESa-g~ e <br /> <br />PHONE CONTACT FOR PERMITTING An~a.... &\:3 ,..... 0 - <br />~ d-BOO <br /> <br />r~Y\C '"ON' <br />hLfrhiUs 1 FL 335t-~ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL ID # O~-d.lp -~I-()D8D - 6DAOo.OBfi/.i"lfJ PROPERTY TAX NOTICE) <br />WORK PROPSED: DNEW CONSTRUCTION ~DITION DALTERATION 0 REPAIR 0 INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~MMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL, L- <br /> <br />DESCRIPTION OF WORK A- cld lU.;teAt.~ s -ID L\c! I~ &1\ Il)~r <br /> <br />BUILDING SIZE .11. '5')( dD. 0 · SQUARE FOOTAGE loCx) I HEIGHT <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 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 />~c.. <br />~'V')~~ <br /> <br />~L <br /> <br />~ILDING <br />~ELECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br /> <br />%. DOQ VALUATION OF TOTAL CONSTRUCTION / <br /> <br />';<00 AMP SERVICE 0 Progress Energy iY" W.R.E,C, <br /> <br />$ <br /> <br />o PLUMBING <br />o MECHANICAL <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 YES 0 NO <br /> <br />BUILDER <br /> <br /> <br />~ <br /> <br />~~ <br /> <br />C~PANY CL <br />I\CJ Wartl ~ <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />~ ****************************************************************** <br /> <br />'3.-:;: 'UC=CUN LlIL~' . CO."" W\~L E!Wri(., \(It.. @ <br />SIGNATURE ~---.....~---t~ATE CERT OR REGIST # EC. ~5 ~ <br />/ <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />