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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 PEPMITTING <br /> <br />OWNER'S NAME <br /> <br />fY\\\u... ~U-VXllo~ <br />~\~~ \~~ ~ <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />I,EGAL DESCRIPTION: LOT (S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />LQB.1'AlN..JJ1Q~L~.82L!'lQT.lC,El....- <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />D SIGN <br />PROPOSED USE: DSG1J FAMILY DWELLING <br />D COMMERCIAL <br /> <br />D ADDITION <br /> <br />D ALTERAT ION <br /> <br />[1 REPAIR <br /> <br />D INSTl'.LL <br /> <br />D MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~'D~ ~\\).J. <br />\~~~ <br /> <br />AIN~ <br /> <br />~L-.lG W(:)~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HF~IGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (l) SET ENERGY FOm1S. <br />COMMERCIAL: A.TTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF' SIGN PERMIT ONLY (2) SETS OF ENGINEERED pr~ANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$-Lt::s:::D ~ <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E,C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PRO,JECT IN FLOOD ZONE !\FEAD YES 0 NO <br /> <br />U_J__._' <br /> <br />qp~~~R;l.r.~.l~w;<>J:L_.,__.._...,_,_____,______,______,__,__." J <br />COMPAN'V-AU ~~-6. ~ ~ <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />************************************k***************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />S I GNA.TURE <br /> <br />STATE CERT OR REGlST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />*************************************k**************************** <br /> <br />MECHAN I CAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR RESIST # <br />