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<br />LEGAL DESCRIPTION: LOT(S) <br /> <br />O " I <br /> <br />::E::~:: l:; e;:Cf4l~:i ~f( <br /> <br />B"~ <br />PARCEL ID # 03. M;';' ;J... / A oiVO p <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIrING DEPARTMENT 5335 8~H st, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 , 4 _? /j\ J <br />,1 DATE RECEIVED ~ ~O C/~ <br /> <br />PHONE CONTACT FOR PERMITTING <br />....--_~4_ <br /> <br /> <br /> <br />C~[:f;;;r:-k-'_7{6L~ <br /> <br />BLOCK () f>tJ do SUBDIVISION 6;J /0 <br />ODOOO. 0 ~3 0 (OBTAIN FROM PROPERTY, TAX NOTICE\ <br /> <br />WORK PROPSED: o NEW CONSTRUCTION ZION o ALTERATION o REPAIR o INSTALL <br /> o SIGN MOVE 0 DEMOLISH <br />PROPOSED USE: ~ FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS ~LE HOMI <br /> D COMMERCIAL D INDUSTRIAL o SWIMMING POOL DOTHER <br /> <br />CJ RESTA~NT & HE~LTH DEPARTMENT APl?ROVAL/ <br />DESCRIPTION OF WORK e I, ~ ~ -1: II!. II' Ie Ii # e I A.:: ~~. <br />BUILDING SIZE /~ J Y sI~ ) <br />, ' <br /> <br />SQUARE FOOTAGE <br /> <br />'fi 80 <br />, <br /> <br />HEIGHT <br /> <br />/0 ' <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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />D BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />;} Do 0 io 0 D VALUATION OF TOTAL CONSTRUCTION <br />,1 6--0 AMP SERVICE 0 Progress Energy ~ <br /> <br />W.R.E.C. <br /> <br />f{L ELECTRI CAL <br />o PLUMBING <br />D MECHANICAL <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />o FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO ... <br /> <br /> <br />t4r~j SJl., -t - \.\ e-- <br />STATE CERT OR REGIST # -=t -\\ 0 0 f'.:l 0" (, 7 <br /> <br />****************************************************************** <br /> <br />J.~ <br /> <br />COMPANY IHVIIOlQllIIl1'AL~"1 <br /> <br />STATE CERT OR REGIST i E!2-tJ 0 13 S ~ ~ '\\ <br />\ <br />\ <br /> <br />COMPANY G-J 0' T""",5 po,.+ o...J S{f."k.. <br /> <br />STATE CERT OR REGIST # ::]:tj () () C)OL/.t 7 T <br /> <br />****************************************************************** ~ <br />MECHANI COMPANY <br /> <br />SIGNATURE ~.~) STATE CERT OR REGIST I <br /> <br />, ***************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE ~ ,.JJ. CZ;/..;,~fP <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /><+; , <br />