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<br />DATE RECEIVED <br /> <br /> <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 />OWNER'S ~~~r~~NTACT <br />JOB ADDRESS G Cf \ l ~ <br /> <br />FOR PERMITTING <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # 0 3 '-;L.b ~7-(-f){ 2.0 ---{)(Xt)O (ORTAIN <br />WORK PROPSED: DNEW CONSTRUCTION D ADDITION (ODL~RATION <br /> <br />FROM PROPERTY TAX NOTICE) <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />DSIGN <br />PROPOSED USE: []SGL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[]# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />BUILDING SIZE <br /> <br />. ~~HEALTH DEPARTMENT APPROVAL <br /> <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />D ELECTRICAL <br /> <br />FLORIDA POWER <br /> <br />/,'\ <br />'</1 ~ 10/P <br />( :;/1 ~ /'/' <br />"------ <br />W.R.E.C. <br /> <br />PERMITS REQUESTED <br /> <br />[] BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[] <br /> <br />[] <br /> <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />DGAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES [] NO <br /> <br />~()1frM.g!.t'(.?RSBC::TIO~ <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 />, <br />SIGNAWRE <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 />MECHAN:J:CAL <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />OTHER <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />******************************************************** <br /> <br />COMPANY <br /> <br />SIGNATWRE <br /> <br />STATE CERT OR REGIST # <br />