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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 RECE IVED <br /> <br />OWNER'S NAME <br /> <br />p ~ ~ 71CONTACT <br />S-';L (1 - / 'J1Jf- <br /> <br />FOR PERMITTING <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br /> <br />(/ -.2 (0 <br /> <br />r <br /> <br />BLOCK , SUBDI'l{'/ bON <br />2-( -0(9 [D '-I rl 00 (OB;;IN FR-Z:C~ROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br /> <br />(JADDITION <br /> <br />(JALTERATION <br /> <br />(J REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(JMULT I - FAMIL Y <br />(J INDUSTRIAL <br /> <br />0# OF UNITS <br /> <br />D MOBILE HOME <br /> <br />D SW IMMING POOL <br /> <br />D <br />OTHER <br /> <br />o RESTAURANT & HE LTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <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 />D BUILDING <br /> <br /> <br />, PERM~TS REQUESTED <br />~ 3 crf{) _~LUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAlJ <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />(J PLUMBING <br />(J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />(J GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OE' CONSTRUCTION: D BLOCK <br /> <br />[] FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED F'LOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br />L________' <br /> <br />~q",'" <br /> <br />~".>"; . <br /> <br /> <br />J <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 /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />* * * * * * * * *-**,'* * * * * * * * * * * * * * * * * *... * * * * * * * * *.. * * * * * *.. * *.. <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />