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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 />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br /> <br />orf" <br /> <br />PHONE ~/q- e7-f./1 7 s-9 7 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: <br /> <br />BLOCK <br /> <br />SUBDIVISION j3:/I1t.n:J0 <br /> <br />'I <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NO~ICE) <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br /> <br />D ADDITION <br /> <br />(JALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />(] DEMOLISH <br /> <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(JMULTI-FAMILY <br />(J INDUSTRIAL <br /> <br />0# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOB ILE HOME <br />(] OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />S/IJA <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT ___ <br /> <br />RESIDENTIAI~: ATTACH (2) PI,OT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING nANS & (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 />$ cJ.l.f .s-O. <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />(] ELECTRICl\T., <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <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 />o ROOFING <br /> <br />(] SPECIALTY <br /> <br />(] OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />(] FRAME <br /> <br />o STEEL <br /> <br />(J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROaECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <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 />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 />SIGNATURE <br /> <br />Co";Uc.j-~ <br />()uk-~ <br /> <br />COMPANY <br /> <br />.71/ SON W,yC/(; Ie... <br />( <br />OR REGIST #~L,___ <br /> <br />OTHER <br /> <br />STATE CERT <br />