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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 />PHONE CONTACT FOR PERMIT'I'ING <br /> <br />JOB .ADDRESS <br /> <br />mJihaeJ <br /> <br />. <br /> <br />49Lj? <br /> <br />( <br /> <br />t, Crevier- <br />qff Sreef Z -'[;;/5 <br /> <br />2 ,~ 3 BLOCK _L SUBDIVISION <br /> <br />PHONE <br /> <br />iJ~ ~715 ~/tj.J9 <br />>:.f 3 5'-/ ~ <br /> <br />OWNER'S Nl\ME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />lQBJ.'AIN FROM...~'.ffiX....lill.I CE ) <br />OALTERATION 0 HEPAIR ~ INSTALL <br />o DEMOLISH <br /> <br />Os I GN <br />PROPOSED USE:YkGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DHOVE <br /> <br />DHULT I - FAMII.,Y <br />D INDUSTRIAL <br /> <br />0# OF UNITS <br />o SW IMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT l\PPROVAL <br /> <br />c)Jibl1 II ~ Peh~0 <br /> <br />/ <br />/ '16- <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTl\GE <br /> <br />HEIGHT _, <br /> <br />~ESIDENTTAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUUDING PLANS & (1) SET ENERGY F'fJRHS. <br />IF SIGN PERMIT ONLY (2) SETS OF' ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />D BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICl\T, <br /> <br />AMP SERVICE: <br /> <br />o E'LORIDA PotvER <br /> <br />o W.R.E.C. <br /> <br />D PLUMBING <br />o HECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLArION <br /> <br />o GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />o OTHE:R <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PRO,JE:CT IN FLOOD ZONE MEAD YES <br /> <br />o NO <br /> <br />[ :. .., CONTRAelO:R:;0'SI~'Jl~ON <br />-.----"-'-,-..-'-'__,_,_,______,______~~_:: ",,".,'., .,'....,:""., c' <br /> <br />___J <br /> <br />BUILDER ~ <br />SIGNATURE1- #d~A (:............ " <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPl\NY <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 />OTHER <br /> <br />COMPAN'L__, <br /> <br />SIGNATURE <br /> <br />STATE CERl' OR REGIST # <br />