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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 89 St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECE lVED <br /> <br /> <br />J~ <br />3;Y 003 <br /> <br />PHONE CONTACT <br /> <br />~~J <br />~~L " <br /> <br />FOR PERMITTING <br /> <br />PHONE <br /> <br />JOB .M>ORESS <br /> <br />LEG~ DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />3S- -:LS- - 2./--{)O ~ ~ tS}q?O.-(3'f 0 <br />PARC~L ID # . _ ~ V(- (ORTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION [J ADDITION [JALTERATION [J REPAIR [J INSTALL <br /> [J SIGN [J MOVE [J DEMOLISH <br />PROElOSED USE: [JSGL FAMILY DWELLING [JMULTI-FAMILY [J# OF UNITS [J MOBILE HOME <br /> [J COMMERCIAL [J INDUSTRIAL [J SWIMMING POOL [J OTHER <br /> <br />OESC~IPTION OF WORK <br />BUILqING SIZE <br /> <br />~& HEALTH DEPARTMENT APPROVAL <br /> <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 />COMM$RCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF ~IGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />I PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />[J BUILt>ING <br />[J ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[J PLUMaING <br />[J MECHANICAL <br /> <br />$ <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[J OTHER <br /> <br />TYPE qF CONSTRUCTION: [J BLOCK <br />FINIS~ED FLOOR ELEVATIONS <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br /> <br />BUILDE~ <br />SIGNATURE <br /> <br /> <br />GO~gTOa$ECTION <br /> <br />COMPANY <br /> <br />ATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRO:CIAN <br />SIGNATURE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNAT1!JRE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHAN1CAL <br />SIGNATtRE <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />." (. <br /> <br />***************************************************************** <br /> <br />OTHER <br />SIGNATJRE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br />