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<br />CIrY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIiLDING DEPARTMENT 5335 8TH st, Zephyrhil1s, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 <br />DATE RECEIVED <br /> <br />I <br />I <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME {tzf? 6<J.fh.j, <br />JOB ADDRESS S93)Cf rtJrLU!f(' /~/t'~ <br />LEGAL DESCRIPTION: LOT(S) j of 3 BLOCK <br />PARCEL 10 it J;;-~(d~:J.A- ({;()t{O- 00500-00:JPJ <br /> <br />PHONE St.:? 7J1.::l/);lQ <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />D COMMERCIAL <br /> <br />D ADDITION <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOMl <br />D OTHER <br /> <br />o RESTAURANT <br /> <br />/.. &i <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <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 PERM~T 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 />$ L;&():!). tv" <br /> <br />VAL~ATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br />o PLUMBING <br />D MECHANICAL $ <br />D GAS ~OFING D SPECIALTY <br /> <br />AMP SERVICE <br /> <br />D Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALIJATION <br /> <br />D OTHER <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 />_' '"["" "-'Ie-'I'-' ,-'-,_'~____"rc,,",__'_''"=-'''''''''''''' - ~--~~------ - .-' . 'jll' I l' -,,,..-, ",.", 'J - ,,---- '-C-'-'I\U~'-'-'II'I~ <br />"'flll!:"'I'II'I'J"'I"~I""~ - 1'_" 1 ,'I "'IPW"1"'"I/"'III" gd,- <br />:ctJll~lt, "~H~; It')t;~lll'l-'!lr:~lrlllllllrrf~II,~/ j 111:L,~;:th t,nl,L!-:}~:J,l!_~/,i i[ ~f,~J, #;r~JfJyr~ ~ t 'If; <br />~~ ~l~ 1~".I)I~ffif,h;~ lil\ <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 it <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER _ xe:::'3~,*,*H'*'*W'*'W::~:A::.tj=.~;:;;,*w <br /> <br />SIGNATU~# STATE CERT OR REGIST t (}%: /?~:>'TOS <br />