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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8ft St, Zephyrhi11s, FL 33542 <2 <br />813-780-0020 FAX: 813-780-0021 k~ 1- 10"11. -I IIP~ <br />DA~E RECEIVED ~ <br /> <br />PHONE CONTACT FOR PERMITTING &/1) 9~tf-5LJc <br /> <br />OWNER'S NAMEA/L/I/ll3ochle/ COl'Zf'7'/'Kn-bn ..7/1C, PHONE (Rl;,)9OJK-5tJiT / <br />JOB ADDRESS L 0 I 5' / If T1t SzL /.~ e/.' (~q a (:~ ') <br />LEGAL DESCRIPTION: LOT (S) .~ t .fo BLOCK f)tJl ~ SUBDIVISION t-:;Jc:J 3' CJ.,tJ <br />PARCEL ID t lif-~-d/- tJtJl ~.-07j;J3f),tJ-!JtJs.o (OBTAIN FROM PROPERTYTAX NOTICE} <br /> <br />WORK PROPSED: jlJNEW CONSTRUCTION <br />D SIGN <br /> <br />PROPOSED US~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />D ADDITION <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0, OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO. <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESClUPTION OF WORK Lf/ ~w If' ~,.i'/ d;c4C C"'" <br />BUILDING SIZE Yo-?1 31 SQUARE FOOTAGE /? tFC- <br /> <br />HEIGHT /~' <br /> <br />JESIDENTIAL: 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 />PBRMITS RBgUBS'.rBD <br /> <br /> <br />o BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$6~ t).~O <br />/5!J <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~- Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />\~O~ _ './ <br /> <br />$ ;) ~ tJ f) - ~ VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK ~ FRAME <br />FINISHED FLOOR ELEVATIONS 511A.~IX}OI <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES *NO <br /> <br /> <br />SIGNJ\TURE <br /> <br /> <br /> <br />.~ ~ <br />\-' ~ OMPANyA/wh~~N~/CP.MS'I'-~h .1P <br />/~ <br />STATE CERT OR REGIST I C'.lJc.tJ6!'.J~ 9 Y \) <br /> <br />BUILDER <br /> <br />****************************************************************** <br /> <br />ELECTRIC <br /> <br />COMPANY f<~<: C.("s,...:? E/~c:6;'c.@ <br />s~.~:-:::GI~, Fe ~O.2!>--Fi) <br /> <br />*******************~..r.;':t*~~:******************";** . ~, <br />411/11'1 qclt k I C "US; /t;:J~ :t: ~ r IS!/" <br />COMPANY c;:. <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />t/' <br />MECHANICAL <br /> <br />STATE CERT OR REGIST I ~1( 3'~ ~ <br />.. L ')=J~" ' , ":---- <br />**************************************~***~*~**~***~~~~ . <br /> <br /><Y.rHli:R <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br />