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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 />PHONE CONTACT FOR PERMITTING <br />(/f)81--9 7&2--0757 <br />OWNER'S NAME.4 AI::({!),/LJ ~. G'M V PHONE (Ce/I )8/.5' 312--/'12 <br />JOB ..pORESS 4>&1.5' ~ZJ/ ,.:jT (.i!frNrC~& /2 3:36fZ <br />LEGAL! DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />PARCE~ ID # <br />WORK ~ROPSED: []NEW CONSTRUCTION <br />OS IGN <br />PRopbsED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />o ADDITION <br />o MOVE <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />[]MULTI-FAMILY <br />o INDUSTRIAL <br /> <br />[]# OF UNITS <br />o SWIMMING POOL <br /> <br />[] MOBILE HOME <br />o OTHER <br /> <br />I <br />DESCR~PTION OF WORK <br /> <br />BUILD~NG SIZE <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />!!,P61rdde cG&t1./;C;:; <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESID~NTIAL: 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. <br /> <br />i..vt /!1l(1 <br />r.yJ ,/ <br /> <br />PERMITS REQUESTED <br /> <br />o BUILpING <br />o ELEC~RICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />[] PL~ING <br />[] MECH1NICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />[] SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE pF CONSTRUCTION: 0 BLOCK <br />FINIS~ED FLOOR ELEVATIONS <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [] NO <br /> <br />cO~q'l'O:R}$ECTIQN <br /> <br />BUILDtR <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY ~ <br /> <br />SIGNA~URE STATE CERT OR REGIST # <br /> <br />********** ******************************************************* <br /> <br />PLUMBtR COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MEC~ICAL <br />SIGNA~URE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER! <br />! <br />SIGNAtt'URE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br />