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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 />{- >!-DIf <br /> <br />~~ Jt-~ <br />OWNER'S NAME t<ec..A AJ Il, "" ~ ~ <br />JOB ADDRESS "3 l' '-f ~ '7 ~. ~ · <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PHONE ~(3"1cr3 -~I <br />Z-e,.J,ye/,./IJ, ,cl.. $)5'/7- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br />PROPOSED USE~SGL FAMILY DWELLING <br />o COMMERC IAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTIC.El <br /> <br />o ADDITION <br />[J MOVE <br /> <br />&tTERATION <br /> <br />[J REPAIR <br /> <br />o INSTALL <br /> <br />[J DEMOLISH <br /> <br />OMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAl, <br />DESCRIPTION OF WORK t!J' S~#Oi~ ele.nle.J ~~I,:e <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDEN'rIAL: AT'TACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />CO~~ERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />[J BUILDING <br />~ELECTRICAL <br /> <br />$~49t? <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C, <br /> <br />o GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />\ <br /> <br />fjp(p).f' <br />VALUATION OF MECHANCIAL INSTALLATION~_.____.______ .... <br />o OTHER <br /> <br />[J PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />TYPE DE' CONSTRUCTION: D BLOCK <br /> <br />o FRAME <br /> <br />[J STEEL <br /> <br />[J o'rBER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />''OM' <br />,~.._,.~~1 <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN ~ ~~ <br />SIGNATURE ~ <br /> <br />****************************************************************** <br /> <br />Sdr <br /> <br />COMPANY <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 />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />