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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION t/JJk <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhi11s, FL 33542 Q _ <br />813-780-0020 FAX:813-780-0021 l' e? ~ <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />ow"'"', ''''''-p{;O { ..\- '1 1)v t lo~ t~ j ~ <br />JOB ADDRESS ./,-, (\ ~~ _ ~,I_ of V ___ <br /> <br />~HONS t I~ I ~ I 4 -ODO I <br /> <br />LEGJl.L DE~,":P' I PT I ON: LOT is) ELOCl.: <br />~ARCEL ID # s.e...e.-. ~~ <br /> <br />SUEDIVISICN <br /> <br />(OBTAIN FROM PROPFRTY TC',' rj()TI(~FI <br /> <br />WORK PROPSED: OI.JE~J CONSTRUCTION <br /> <br />o .ADDITION <br /> <br />o AL TEPP.TION <br /> <br />o REPAIR. <br /> <br />o INST.ALL <br /> <br />O,;IGN <br /> <br />o HOVE <br /> <br />o DEt'IOLISH <br /> <br />PR.OPOSED USE: OSGL E',AM: LY [MELLING <br /> <br />Or"ULT I -FM'iI LY <br /> <br />0# OF UnITS <br /> <br />o HOP I U: HOHE <br />o OTHER <br /> <br />o ':Or-IT'1ERC T Jl.L <br /> <br />o TNDUSTRLAL <br /> <br />OSI'JH-]VlING I"OOL <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAJIEANT " HEi\LTH DEl"l\RTHSNT Jl.PPRO\'.AL <br /> <br />~+e uJorl <br /> <br />EUEDING SIZE <br /> <br />SQU.l\RE fO:)'ri~JJE <br /> <br />HEI'~HT <br /> <br />RESIDENTIAL: ATTACH ( ) PLOT PLANS & I SETS OF BUILDING PLANS <br />COHlvIERCIAL: ATTi\CH i. 3) SETS OF BUILDINC,; PIJ\rF; ,: 11) ~,ET ENERGl <br />IlC SIGN PEPJ'IIT ONLY (2) SETS OF ENGINEERED PL,AN;, REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR M,L NE~.J r:Ot.JSTRUCTION. <br /> <br />& (1 'I SET ENE~J:;Y FC?,>b. <br /> <br />FORHS. Q) N~) (~'1 c:i <br />'C:;V~it~i~ J1M~lf <br /> <br />PERMITS REQUESTED <br /> <br />@ <br /> <br />(.~"\i ~'i 12. {; . '-..J <br />J~,,^)T . <br /> <br />o EUILDING <br /> <br />y <br /> <br />~~.~ <br />I <br /> <br />VJl,LUA.TION OF TOT)\], CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Prc~ress Energy D <br /> <br />1-) _ R. E _ r:. <br /> <br />D PLUHBING <br /> <br />Q) <br /> <br />.t) 14) ~ r..J'\. \""\ I \" <br /> <br />l"ru;Ji... ~ ~--Vl'-\ \.. <br />f~ <br /> <br />o MECHA.NICAL <br /> <br />o G,AS <br /> <br />o ROOFING <br /> <br />D SPECIJl,LTY <br /> <br />VJl,LU,ATION OF HE;c:HANCIA.L INSTJl.LLA.TIONtt) <br />~HE:P. <br />D FRAME <br /> <br />o STEEL <br /> <br />}(?THER <br /> <br />TYPE Of' CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />(ff) ~"'.\..~;t\';I\\TJ4-L <br />IS PRO,JECT IN FLOOD ZONE AREAO vES D NO ~'~'\.'l <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COHPANY <br /> <br />SIGNA.TURE <br /> <br />STATE CERT OR REGIST # <br /> <br />********k***************+*******************************+***+***~* <br /> <br />ELECTRICIAN <br /> <br />COMP.ANY <br /> <br />SIGNA.TURE <br /> <br />STATE CERT OR REGIST # <br /> <br />+****+****+******+*************~**+***+*******+*****+************* <br /> <br />PLUMBER <br /> <br />COHP,ANY <br /> <br />SIGNATURE <br /> <br />STA.TE CERT OR REGIST # <br /> <br />.+++*+**++.+++++.++*+*+++++++++.++.*+*.+*++***+**+*.*+************ <br /> <br />MECHANICAL <br /> <br />COHP./\NY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />f- OTHER <br /> <br />***************************************************************** <br /> <br />COMPA.NY Kt~ rn-€\.f Cf>>t~tV'-IALJ :'<J'v\ Co -) k <br />STJl.TE CERT OR PJlbIST # e1!z~ {60 7 ~ <br />:V:;. .;S 1.g . ~, <br />I <br /> <br />~-~ <br />~:'."".>, <br />.,.. ." <br />"'l~' . --"... <br /> <br />SIGNATURE <br />