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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIiLDING DEPARTMENT 5335 8~H st, Zephyrhi11S, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 <br />DATE RECEIVED <br /> <br />I <br />I <br /> <br />(7 { '0;:, <br /> <br />i () . {7-ofo <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />31'S (g^Go~lLl <br /> <br />OWNER'S NAME ~~~ ~\ .~) ur~LL- <br />, <br />JOB ADDRESS,~\04 q-\'" '&h <br /> <br />LEGAL DESCRIPTION: LOT(S) ~ BLOCK f)JDS <br /> <br />PARCEL ID i"-1.c'-~\-Oc:.\O- ~SC>C? -O\CeC <br /> <br />PHONE ~,~ 18:5 \~J~ <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />OSIGN <br /> <br />PROPOSED USE: ~L FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOMI <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br /> <br />DESCRIPTION OF WORK ~<- ~h~J <br /> <br />BUILDING SIZE ~ SQUARE FOOTAGE 9-\(0t) <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 />HEIGHT <br /> <br />PERMITS REQUESTED <br /> <br />D BUILDING . <br />D ELECTRICAL <br />D PLUMBING <br />o MECHANICAL <br /> <br />$ y:i3C9. 06 <br /> <br />VALl!JATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy D <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />9"ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 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 />SIGNATUR <br /> <br /> <br />COMPANY <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST i C~ \~::1..rJOj- <br /> <br />**********************************.****************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <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 />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />- <br /> <br />COMPANY ~1'~ ~oC~' ":) J...-..c. <br />STATE CERT OR REGIST # (lA'll' I~a \:)O~ <br /> <br />.~ ~ <br />:::::TURE ~~ <br />