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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />c2- Ia-{J 1/ <br />( <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME \.(<i:.....~~~'v\ \=__ ~~lT(',N <br />. <br /> <br />JOB ADDRESS -=<'1tn~'" 1\)':;.1._' \\f\~~7f'\N" ~\Ib~ <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PHONE ~I 3) ~ ~~ _L\~<. <br /> <br />SUBD IVI S ION c; "t. "-.t-.\. n \\.~~ ~ ""U'l N5 <br /> <br />PARCEL ID # <br /> <br />(ORTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br />(J SIGN <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />(J COMMERCIAL <br /> <br />(J ADDITION <br />(J MOVE <br /> <br />(JALTERATION <br />(J DEMOLISH <br /> <br />~ REPAIR <br /> <br />(J INSTALL <br /> <br />(]MULTI-FAMILY <br />(] INDUSTRIAL <br /> <br />(J# OF UNITS <br />(] SWIMMING POOL <br /> <br />~MOBILE HOME <br />(JOTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /><>., CJ 0 .. <br />DESCRIPTION OF WORK ~u..- \~ S\",tL~n..I ~ ~rQ\m'D ~~~ 'W\N~\~C" ~l~~~~~~) U.l<;'~~ <br /> <br />BUILDING SIZE ~,~~~, \.CL SQUARE FOOTAGE ~ \~<OQ) HEIGHT <;;\~t.I O~~ ~ \ \=-l..oo~ <br /> <br />RESInENTIAL: 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 />AMP SERVICE <br /> <br />(J FLORIDA POWER <br /> <br /> <br />-8 BUILDING <br />(J ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />(J PLUMBING <br />(] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTAL <br /> <br />(J GAS <br /> <br />(] ROOFING <br /> <br />(J SPECIALTY <br /> <br />(J OTHER <br /> <br />TYPE OF CONSTRUCTION: (J BLOCK <br /> <br />t! FRAME <br /> <br />(J STEEL <br /> <br />(] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEA(] YES 181 NO <br /> <br />BUILDER <br />SIGNATURE \:?o~._~~t ~_.~.. <br /> <br />pq~g~~i~EC'1'IQN <br />COMPANY '\\ O~ - ("")\....."')~l;:l~ <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 />PLUMBE~ <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANlrCAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATU1RE <br /> <br />STATE CERT OR REGIST # <br />