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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />~UILDING DEPARTMENT 5335 e!rH St, ZephyrhiJ.J.s, FL 33542 <br />813-780~0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME S~'^- l.J~ <br />JOB ADDRESS (; '1'1/ .3; Ivu- e;wI:.., Ih- <br /> <br />PHONE 813 78~ ~.t(!)~ <br /> <br />..... '... <br />. , <br /> <br />LEGAL DESCRIPTION: LOT (S) 103 ..f /Olt BLOCK <br />PARCEL ID it O-S-~(j,-2.I- ~/:{d)- 6?(!f)OdO- /050 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />, WORK PROPSED: 0 NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />B"'REPAIR <br /> <br />~NSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />o it 'OF UNITS <br />DSWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~e. <br /> <br />R.6j <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ 8"00.00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />, AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />D.pLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />~OOFING <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 FLpOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />~_=;;m -rn""~~'-p*~::--~'---::::-:----:-CTiJI"T":""r;'97'::!"":V,;;;;;::;~;rrm",' '!'~ 11' - ']I, <br />c",t;i,~ ""I~t~;'~Jlg~';l"'I'tJ (Ill/I ""11 ,t'J~"!1 1"1' "d ',t )',' 1/1;li,,1~1'l;. J ',"(,," 1;"",..rj<I'~'i)':'" ",..1t:7~'il!~:&.'~~1lii d'ilirii J R )I/,f, ~,O~" , <br />~ ~r.I/~{~: I~I!'/") -)~~t:.~lfIi'::....(.~1 .tJ,I.~ ,.. ~1 t.;;/. 1\""'I'~o'~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST it <br /> <br />,- <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />, COMPANY <br /> <br />" <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br /> <br />I "( U- <br />***************************************************************** <br /> <br />OTHER ~~ . <br />SIGNATUR ., ' if <br /> <br />- <br /> <br />COMPANY 1~ 0/7 <br /> <br />STATE CERT OR REGIST it ~ 13~ rro-J <br />