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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 BTH st, Zephyrhi11s, FL 33542 <br />813-7BO~0020 FAX:B13-7BO-0021 . I. ,_, <br />DATE RECEIVED ~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br /> <br />OWNER'S NAMft{&.p1 ~~ PHONE :P/~6'-M' <br />JOB ADDRES~ _ I m~...e, 0~ L..~ ~ -----'- ~tcc <br /> <br />LEGAL DESC~IPTION: LOT(S) 0(;)/0 BLOCK oOoro SUBDIVISION O.;J..CZO <br />PARCEL ID O~ -.;t In.-..2/. .. ()..;l tJD .. Oc:oOO-- ~/O (OBTAIN FROM PROPERTY TAX NOTICE I <br /> <br />WORK PROPS D: ~W CONSTRUCTION o ADDITION OALTERATION o REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED SE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> ~OMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTIO, OF WORK n e....J p r-o {-=<: ,., ~....e. bu.i 1e;/,-'1f4 ~ P""4) ~ Y <br />BUILDING S~ZE /0tJ )( 5 ~ SQUARE FOOTAGE b ~ i#e ~ HEIGHT /0 ' <br /> <br />RESIDENTIA: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIA :. ATTACH (3) SETS OF BUILDING PLANS & (I) SET ENERGY <br />RMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> <br />& (1) SET ENERGY FORMS. <br /> <br />FOpSi~ ~ t1~/~ <br /> <br />~DING <br />~ECTRICAL <br />D'PLUMBING <br />~CHANICAL <br /> <br />PERMITS REQUESTED <br />$ '-17~ Ql)O O\J VALUATION OF TOTAL CONSTRUCTION <br />~O€> . AMP SERVICE ~ogress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$c;{1/~~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF <br /> <br />o SPECIALTY <br />TRUCTION:~OCK <br /> <br />o OTHER <br /> <br />FINISHED <br /> <br />ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~ <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # ~ 1;2... 5D7lf <br /> <br />ELECTRICIAN <br /> <br />***************************************************** <br /> <br /> <br />COMPANY "'C'r\ ~ ~, <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />cc.. /3fYD /383 <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br /> <br />COMPANY. ~ W~L'~ <br />STATE CERT OR REGIST # ~ I 'f:J..5 (POOL <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />c,. <br />****************************************************************** <br />. COMPANY ..5"0 f1K\1 ~ Se..rU{~-e..,.. ~~ <br /> <br />STATE CERT OR REGIST # It VY1 ~ ffiV ~ ( <br /> <br />MEClIANICAL <br /> <br />lIGNATURE <br /> <br />COMPANY~-.~ viv <br />STATE CERT OR REGIST # ~ 1:?;;t5 5'05 <br />,i~!'~!~t:~ <br /> <br />OTHER <br />