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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUEDING DEPARTMENT 5335 8TH st, Zephyrhi.lls, Fl.. 33542 <br />I 813-780-0020 FAX: 813-780-0021 <br />I DATE RECEIVED <br />I <br />I PHONE CONTACT FOR PERl-1IITTING <br /> <br />OWNER'S NAME \!...t V; 1\ <br />JOB ADDRESS' Si'i " <br /> <br />~ "-.""'^tV <br />8-&. S~. <br /> <br />Ry""",,,, <br /> <br />PHONE <br /> <br />(3) 7~ 2'0'&1..(' <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # J\..lb" 2 \ -0010- DI'i 00 - D1..\O <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />[] REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN 0 MOVE )4 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY O. OF UNITS <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HaM <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br />l)~o <br /> <br />~""C; ,~ <br /> <br />t:o._: ~r->>c..Je.ll: ^; <br />SQUARE FOOTAGE <br /> <br />BUILDING SIZE <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 />I F SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> PERMITS REQUESTED <br />o BUILDING $ dYqg,oo VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />o PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 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 /> <br />COMPANY ~Ylll\ ~"" [~~ r.J. <br />STATE CERT OR REGIST # Ck -03 S'(3.Y' <br /> <br />~******************************************* <br /> <br />ELECTRICIAN <br /> <br />. <br />COMPANY <br /> <br />, <br />STATE CERT OR REGIST # <br /> <br />!'::'" , ,"~I.~'.:; 1,:'i_1 I~H <br /> <br />SIGNATURE <br /> <br />." " <" .... I '. .;"'>: .11 ., i~.f '~ of- ~ " -1. "I' :t M. r ! H. t <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 ,C.ER!. OE .m~:GISA, J, <br /> <br />