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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 />OWNER'S NAME <br /> <br />d2~ ~€XTACT <br /> <br />37 cr<{-~ ,-' /11L(~ <br /> <br />FOR PERMITTING <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL 10 # (() ~2-" ~L( -00 (0' r-{2-tf-oo --roZ-&BTAIN FROM PROPER'ry TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[JSIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERC IAL <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />[J DEMOLI SH <br /> <br />[JMUIJT I - FAMI L Y <br />(] INDUSTRIAL <br /> <br />0# OF UNITS <br />(] SW IMMING POOL <br /> <br />(] MOBILE HOME <br />(] OTHER <br /> <br />BUILDING SIZE <br /> <br />D ~~LTH DEPARTMENT APPROVAl, <br /> <br /> <br />- FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PI,OT PI,ANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORBS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERM 11' ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />(] BUILDING <br /> <br /> <br />~u <br />$ <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />(] FLORIDA POWER <br /> <br />(] vLR.E.C. <br /> <br />(] PLUMBING <br />(] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />(] GAS <br /> <br />(] ROOFING <br /> <br />o SPECIALTY <br /> <br />(] OTHER <br /> <br />TYPE OF CONSTRUCTION: (] BLOCK <br /> <br />(] FRAHE <br /> <br />(] STEEL <br /> <br />(] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PRO,JECT IN FLOOD ZONE AJl,EA(] YES (] NO <br /> <br /> <br />BUILDER <br /> <br /> <br />QC>l-t~9___~~!;;:.~~~~;~_~___'___________'h <br /> <br />--,COMPANY <br /> <br />SIGNATURE <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 />