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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br /> <br /> <br />OWNER'S NAME <br /> <br /> <br />PHONE CONTACT <br /> <br />a '..t-..t ~ AI D <br />3f?73S-- b~ <br /> <br />FOR PERMITTING <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVI S ION <br /> <br />PARCEL ID # <br /> <br />{( - .?-~ --:?-(- OQ (0 '-[C{-00U -:- a(~IN EB.01:LPROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[JSIGN <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />o BEPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGI, FAMILY DWELLING <br />o COMMERC IAL <br /> <br />[JMULT I - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br /> <br />/~ FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />[] BUILDING <br /> <br />/ PERMITS REQUESTED <br />/-3 y: 7 ) --- VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL, <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />[] PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />[J ROOFING <br /> <br />[] SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />L__~__________________ <br /> <br />o. ~G._t~I.1a~aN . J <br />.. ....... :.. .;' ,-,: - -c., ',:',' ":,~';,+,',_~',,~"'-"~":".,:' ,~(,'h,;,.,.t'::,',,- '~,'J!':,".' _"'.' '~;"~~\;".: ' <br />-.. .~~----._~._--_..__.._._---_._--~ <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 # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br /> <br />"\ <br /> <br />SIGNATURE <br /> <br />t/A*******~************************************ **** **** ** <br /> <br /> <br />? ,/. (# __ COMPAN #/ <br /> <br />--~- STATE CERT OR REGIST <br /> <br />OTHER <br />