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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8D St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING :PI) # J.. r; 3- .3 vf I <br /> <br />OWNER' S NAME \\.)8 L::.::> ;:, 0 ..--.- <br /> <br />PHONE <br /> <br />JOB AODRESS~ d- 'I? <br /> <br />J-/: q~J...,qJ <br />c/ <br /> <br />J t.%> ro <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />ofiKyuyJ <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />~DITION <br />o MOVE <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />DMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />OESCR[PTION OF WORK <br /> <br />~ <br /> <br />c:\.- IN(?j -r~~ \A)~.r b <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILD[NG SIZE <br /> <br />~ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <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 />$ <br /> <br />PERMITS REQUESTED <br />VALUATION OF TOTAL CONSTRUCT~N <br />AMP SERVICE 0 FLORIDA POWER 'Q"'~LIL E. C.. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br /> <br />... ff~~l <br />~ <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />(J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />(J FRAME <br /> <br />(J STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA(J YES 0 NO <br /> <br />CONTAA-c::'1'Q:R.SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN COMPANY 0 ,L~ . ~ \ \ 't. A- Yld L/ ~ :i:-'- <br />SIGNMURE&'pJ-. ;t. lDl~M STATE CERT OR REGIST # {;:Rc=Di->- tL( <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 />