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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 />PHONE CONTACT FOR PERMITTING <br /> <br />:::E::~:E ~ ~.\oU~C <br /> <br />LEGAL DESCRIPTION: LOT (S) ~ BLOCK <br />PARCEL 10 # <br /> <br />W90f.> J2 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: alNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOlJISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULT I .- FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />o <br />SWIMMING POOL <br /> <br />o <br />OTHER <br /> <br />D RESTAURANT &. H1ALTIt.DE,PARTMENT APPROVAL <br />OESCRIPTION OF WORK iY~ ';O~ <br />BUILDING SIZE QUARE 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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />D W,R.E.C. <br /> <br />" PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />\ '/51') ') 3 5'5 - '7 & 7 '5 <br />o OTHEH <br /> <br />o GAS <br /> <br />o HOOFING <br /> <br />o SPECIALTY <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PHOJECT IN FLOOD ZONE AF.EAD YES 0 NO <br /> <br /> <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATUHE <br /> <br />STATE CEHT OR HEGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CEHT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />~ COMPANY }-Yl ~ ? ~ <br />H~'~~HHHHH~:~:~':~~:'~~'~~~~~:':H~'~H~' ~ ~!o I <br /> <br />SIGNATURE <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 REGIS! # <br />