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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 RECE IVED <br /> <br />1-.)-o.-OjL <br />/ <br /> <br />OWNER'S NAME <br /> <br />.,:I~ <br />JJ.;? ~ ~ <br /> <br />Vr rVT67cf <br />r~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL ID # ]:-)-J.-S-:-::L.-( .~(JS;-C~ .-.C:OOOO~(2;'-QOBTAIN FROM PROPERTY TA~ NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DADDITION DALTERATION D REPAIR D INSTALL <br />DMOVE 0 DEMOLISH <br />DMULTI-FAMILY 0# OF' UNITS o MCmILE HOME <br />o INDUSTRIAL 0 POOL o OTHER <br /> SWIMMING <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br /> <br />~ARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORt1S. <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 />./.._......--z._~-- <br />.' ..' ? r '0 <br />D BUILDING, . $ (/ ( <br />D ELECTRI~ .._ __-~ <br /> <br />"-..----.--.-.- ,,-,-,.-.- ,.----- <br /> <br /> <br />ALUATION OF TOTAL CONSTRUCTION <br /> <br />SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <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 />I S PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />I_____L_________.______ <br /> <br />~Q:ti{~g~~~},',~lQ~:pJ:lf <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 />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />~: :';7~;~~'~""""""""""""""""""""'"..... <br /> <br /> <br /> <br />( ~1/(y:./-- . COMPANY <br /> <br />------ - STATE CERT OR REGIST # <br /> <br />OTHER <br />