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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 533~ 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />~-/q-/)t/ <br /> <br />OWNER'S NAME <br /> <br />~-:;; ? <br />6 'y <br />:::<.. ijlj~ \' (J\).,,~~\,,~ ~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LC"\-\:: ~~() tt.""~~~\..1>~\~ <br /> <br />LEGAL DESCRIPTION: LOT (S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCED. ID # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[JADDITION <br />[J MOVE <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />~ALL <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[JCOMMERCIAL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK S~ ~~ "- <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />PERMITS REQUESTED <br /> <br />[J BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R,E.C. <br /> <br />'\ <br /> <br />~ING <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />VALUATION OF MECHANCIAL INSTALLATI0N <br />, <br />( <br /> <br />), /21J5 <br /> <br /> <br />, /./....:>,./ <br />/j~~- <br />~/' ~ <br /> <br />/ <br />/ <br />/ <br /> <br />[J l'1ECHANICAL <br /> <br />$ <br /> <br />\ <br />\ <br />\ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHEiD FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br /> <br />"<o:,:~{i")JJ~tQN <br /> <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 />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER ~ / ~ <br /> <br />SIGNATURE' 0< . --<-- tv ci2 Q~ <br /> <br />COMPANYb9.~~,!=. t _ ~~\\~~~~\u..~,~~ <br />STATE CERT OR REGIST # ~~~ \lJ~S~CJ~ <br /> <br />MECHANIGAL <br /> <br />****************************************************************** <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 /> <br />-------_.__._---~- <br />