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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />~UILDING DEPARTMENT 5::\35 8"a St, Zephyrhi.11s, FL 33542 <br />813-780~0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER' s NAM~Ka\.~.Jl S.~ <br />JOB ADDRESS 3)344 b,e,r':1.:stw'~c- )),- <br />LEGAL DESCRI PTION: LOT (S) 9") BLOCK <br />- PARCEL ID # /0 - )C;-~/- O/:A. It:; - DO;Z:O - 0110 <br /> <br />PHONE J>J3 72;< 56:/ f <br /> <br />v .~ <br />. , <br /> <br />SUBDIVISION <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />, WORK PROPSED: 0 NEW CONSTRUCTIO~ <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />OY'fNSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Oft OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK .~ <... t\~)'1 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />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 />$ Ltetb.OO <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 />o PLUMBING <br />o MECHANICAL $ <br />o .GAS _ ~OOFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 AREAO YES 0 NO <br /> <br />~_7tn"'~~~F~-:-~-----:::---'-=zlI~'70['7"J7'~C~~'" ",I \, 'K' '"." T <br />(:Wi', ,'.I,~r\,,) "~ C' f',,'1 1\1 \ .c' ; ,',\ '1.,/" '( I "I' 1, t 1 I 'I {1;ll..' n"" 'J ',::;-" "J II, N:., \ .'1 ,}\.; J'j,')~J,y~ mli-~ I 'fr!,~'i~'j ~ [~~~I 11i.f ,\li'1l~I'Jli I: <br />I J~iE~~~ ~:.:.u~':: 1'1.' ~1;1',I!)ii-:~~ ,- .~, 'J ~'~;;;j_. h".hr~'l <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 * <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />.' <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />, COMPANY <br /> <br />" <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br /> <br />J '" U- <br />***************************************************************** <br /> <br />::::TU:U ~/g fi <br /> <br />COMPANY ,/~ !toP:) <br />STATE CERT OR REGIST * Lt'.e~ iJJJ. 10 r- <br />