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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECE lVEO <br /> <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PHONE <br /> <br />JOB ~DRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />~ S-- .-.u-- - 2{ ----C>O S- -.L~ t) <br />PARCJl:L ID # CTf <br /> <br />SUBDIVISION <br /><--d} ?~OBTAIN FROM PROPF.RTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br />PROPOSED USE: []SGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[J ADDITION <br />[J MOVE <br /> <br />[JALTERATION <br />[J DEMOLISH <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[]MULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />BUILQING SIZE <br /> <br />~~& HEALTH DEPARTMENT APPROVAL <br /> <br /> <br />- SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />OESC~IPTION OF WORK <br /> <br />RESI~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 />[J BUILDING <br /> <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] ELECtRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[J PL~ING <br />[J MEC~ICAL $ <br />[J GAS I [J ROOFING [J SPECIALTY <br />TYPE ~F CONSTRUCTION: [] BLOCK <br />FINISJED FLOOR ELEVATIONS <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J OTHER <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES <br /> <br />[J NO <br /> <br /> <br />BUILD~R <br />SIGNA~URE <br /> <br /> <br />c. ONTRACTOR/SEC'I'ION <br />',',', ',. .....-., ,'-.....,.'.-..-.... :.,...._....-.-.... ',',.. , <br />:i -'. .. ", '''',.. .. _.,' <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />*************************************************************** <br /> <br />ELECTItICIAN <br /> <br />COMPANY <br /> <br />SIGNA':DURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBEIR <br /> <br />COMPANY <br /> <br />SIGNATbRE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANtrCAL <br />! <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNAT RE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />/ <br /> <br />SIGNAT RE <br /> <br />STATE CERT OR REGIST # <br />