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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 />P',/-. / ;5"' - .. ~ <br /> <br />PHONE CONTACT FOR PERMITTING '2'/1 S~;? &/ Oc;, 2- <br /> <br />/ <br /> <br /> <br />PHONE ~;;:/:; 72.2 /~ c~ <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />/ <br />i <br />LEGAL DESCRIPTION: LOT(5) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br />WORK PROPSED: .ChfEW CONSTRUCTION <br />D SIGN <br />Pf<.OPOSED USE: DSGL FAMILY DWELLING <br />D COMMERC IAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D # OE' UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />~R~STAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />,~~ ~7 r--C/ ~u, /4c-- <br /> <br />'3 ;2- SQUARE FOOTAGE- j/ P Y <br /> <br />HEIGHT <br /> <br />BUILDING SIZE .L;:?/ <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 PERMI'I' ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />./, '-7 ~ .:r.?/" <br />$ /~/ /..J, <br />/ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R,E.C. <br /> <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <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 />S I GNA'rURE <br /> <br />STATE CERT OR REGIST # _ <br /> <br />-***************************************************************** <br /> <br />PL~R ~ <br />/ / <br />SIGNATURE.......h'- - '. ' <br /> <br />COMPANY <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 />O'fHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />