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<br />"" <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:B13-7BO-0021 <br /> <br />DATE RECEIVED <br /> <br />/,./,J-pV <br />I <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />7 <br />!~.d? -dl- t7tJ /P <br /> <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />PARCEL ID # <br /> <br />BLOCK I SUBDIVISION <br />.- /J P/ ,tJf} - tfJp7clJAIN FRO: <br /> <br />!Jz:5- 7 f' (J- 1 JY,f <br />.. J:Jr. ,;J <br />II{,.( (/t J J- J'1/..6, <br /> <br />JOB ADDRESS <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION o ALTERATI ON ~EPAIR o INSTALL <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE:~L FAMILY DWELLING OMULTI - FAMIL Y 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />PROPERTY TAX NOTICE) <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & ~TH DEPARTMENT APPROVAl, <br /> <br />Il/~J ffPL <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: 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 />o BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />/JOP,PO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE J10 FLORIDA POWER 0 <br /> <br />W.R,E,C, <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL $ <br />o GAS ~OOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION:~~LOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />I <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES lft(No <br /> <br />BUILDER <br />SIGNATURR<' <br /> <br />'~~~c;~I!i;,11;QW~()ft <br /> <br />~~ <br /> <br /> <br /> <br />**********************************************************>******* <br /> <br />._-------------..---. <br /> <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <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 />MECHANICAL <br /> <br />****************************************************************** <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 /> <br />---..---.. <br />