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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />l~ <br /> <br />~r ~.Jfr(j <br /> <br /> <br />OWNER'S NAME sc,h/YJ UC/~ <br /> <br />JOB ADDRESS 390P-O 1fYJcfAL/sl- <br />/ <br />LEGAL DESCRIPTION: LOT (S) d 3 <br /> <br />DATE RECE lVED <br /> <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PHONE <br /> <br />7'/3 )7J)-, <br /> <br />/)/: <br /> <br />- <br />SUBDIVISION ~/r7C~~/~ <br /> <br />fJ/: <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[J ADDITION <br />[] MOVE <br /> <br />[JALTERATION <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />[J DEMOLISH <br /> <br />[]MULT I - FAMILY <br />[] INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />&^ICt/'cfc.. _'\;;+13 IT U<fV'C{k1; <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> <br />usf'NS()<JU <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />/ ,~~ - -.-----.""\ <br />,/-' j / <br />/ / <br /> <br />( /)57 /' <br />~_/ <br /> <br />PERMITS REQUESTED <br /> <br />[J BUILDING <br />[J ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[] PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[] SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [] NO <br /> <br />CQ~QWO....'.'.' ..'~2;'F,~.qr.r.~O$ <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 />OTHER <br /> <br />OJ^<-- ~ <br /> <br />COMPANY <br /> <br />7f/5((JA( t:O,,;Cf-c! ~ <br />/ <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />