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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 />1/ <br />f <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ~;t y>, <br />JOB ADDRESS 5P3/ <br /> <br />kif i. Jr lit" d <br />/~ '*" 5 r- <br /> <br />PHONE ~/~'" ?S',....2 9..59 <br />'Zc-I'A "rIt~ Ii s Fl. <br /> <br />><: SUBDIVISION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[JSIGN <br />PROPOSED USE: [J SGL FAMILY DWELL ING <br />[JCOMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTTCE) <br /> <br />[JADDITION <br />DMOVE <br /> <br />pgALTERATION <br />D DEMOLISH <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />DMUTJTI-FAMILY <br />D INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL, <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK R)(.h~''Yts/o'YI ~ f CA" p~.,. + <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIA.L: 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 />D BUILDING <br /> <br />$ <br /> <br />939. IS" <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />D FRAME <br /> <br />D STEETJ <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br /> <br />':_~ <br />{)lA)r\Q/V <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />ma.;;- ~,y~,,( STATE CERT OR REGIST ff <br />****************************************************************** <br /> <br />COMPANY <br /> <br />ELECTRICI1\N <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 />****************************************************************** <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 REGIST # <br />