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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 />~/;b2/f)~ <br />I I ( <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />-r (' <br />_Ie{ fY\('5 ~ ~ \ let,,,,, ~ "5 <br />c;~51 Jq.fh S~- <br /> <br />PHONE <br /> <br />g/3 - 39CJ~ 7&>d-:5 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPF.RTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br />PROPOSED USE:'~GL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[J ADDITION <br />[J MOVE <br /> <br />[JALTERATION <br />[J DEMOLISH <br /> <br />~PAIR <br /> <br />[J INSTALL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[JSWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />BUILDING SIZE <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />LI r 9 C'a.de. (11 u.. ~ 1,.,1..,.) *' ~ I ~C 4-t'"; C 0..-1 <br />SQUARE FOOTAGE HEIGHT <br /> <br />DESC~IPTION OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />CO~RCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. \ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. I <br /> <br />AMP <br /> <br />. . 1U~ <br />PERMITS REQUESTED ,1~. <br /> <br />VALUATION OF TOTAL CONSTRUCTI~ ~+r- <br /> <br />SERVICE 0 FLORIDA POWER 0 'Ir.1<.":-~ ~ <br /> <br />O~~'>ftP <br />~ l~ruf.,,' ~ <br />VALUATION OF MECH1\NCIAL INSTALLATION ~~- \) <br /> <br /> <br />[J BUILDING $ <br />~ECTRICAL <br /> <br />~LUM$ING <br />[J MECHANICAL $ <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />~E <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />FINIsaED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES <br /> <br />~O <br /> <br />C(>~gTO:R/.SEeTI()N <br /> <br />BUILD&lR <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br /> <br />ELECTRICIAN . /J /" COMPANY 0 W rJ 6te <br />SIGNATURE ;c~)t/J,.~J... \.. ~d--1.-.-C.-s- STATE CERT OR REGIST # <br /> <br />****************************************************************~* <br /> <br />=~~~o C.Li~ <br /> <br />I <br /> <br />COMPANY C) W (\)~ <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNAT1lJRE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATUTRE <br /> <br />STATE CERT OR REG 1ST # <br />