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<br />CITY OF ZEPHYRHILI.S PERMIT APPLICATION ~ <br />BUILDING DEPAR'rMENT 5335 8Tll St, Zephyrhills, Fl. 33542 ( <br />813-780-0020 FAX:813-780-0021 7 <br />DATE RECE IVED <br /> <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />.JOB ADDRESS <br /> <br />~ U1~ ~PH()NE_ <br />s<-r [ ( - ( () ~( , <br /> <br />OWNER'S NAME <br /> <br />LEGA,T, DESCRIPTION: LOT(S) BLOCI( SUBDIVISION <br />PARCEL ID # 11-:2-" --'2_( --C:lC~( 0 -c!:> ~CO ,- 9~,~ci1~-PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />[JALTEPATION <br /> <br />[J REPAIR <br /> <br />D INSTALL <br /> <br />D SIGN <br /> <br />D MOVE <br /> <br />D DEHOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br /> <br />DHUI,TI-FAMILY <br /> <br />[.1# OF UNITS <br />o Sv-JU1HING POOL <br /> <br />[] MOB I LE HOME <br />[] OTHER <br /> <br />o COMMERCIAL <br /> <br />[] <br />INDUSTRIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAT, <br /> <br />~-~ ;r~ <br /> <br />SQUAREtfcJOTAGE ! cr-c> II HEIGI~T ______ <br />f <br />RES IDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDINC~ PLA,NS & (1:1 SET ENERGY FOm1S. <br />COMMERCIAL: A.TTACH (3) SETS OF' BUILDING PT,ANS & (]) 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 SIZE <br /> <br />PERMITS REQUESTED <br /> <br />D BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA PONER <br /> <br />D W.R.E.C. <br /> <br />D PU.JMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />D STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br />1__,__., . <br /> <br />__,_,____..cON~O'tOR'SECT62!!___________n___'_,.______J <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />EL.ECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />k****k**************************************************,r********k <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 STATE CERT OR REGIST # <br /> <br /> <br />OTHER ~.*'*., "......*....**.*;O:::~~.~~ <br /> <br />SIGNATURE <br /> <br />STATE CERT OR R~~IST # <br /> <br />