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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 RECEIVED <br /> <br />;;< /;7;' Y <br /> <br />, <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />E~vJJ I~ 1:1e <br />~d~ '~y~,,\_o. <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />~~~"'~~ ~~''''~ <br />, ' <br /> <br />'-~ <br /> <br />\~\ <br /> <br />LEGAL DESCRIPTION: LOT(8) <br /> <br />BLOCK <br /> <br />SUBDIVI S I ON <br /> <br />PARCEL 10 # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />[J REPAIR <br /> <br />~ALL <br /> <br />[J SIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />o COMl1ERC IAL <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />-- ~ \) \..}..~ "- <br /> <br />~ ~~ '"-- ~ <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 />ZELECT rCAL <br /> <br /> <br />PLUMBJ;NG <br />[J MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />o GAS <br /> <br />'0 ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[J OTHER <br /> <br />TYPE OE' CONSTRUCTION: 0 BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />[J NO <br /> <br />r <br /> <br />il't^~iIl,...~ ',. . 1ft' till <br />~"~~",".v;R:' S.C,.ito <br /> <br />l <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 />~JCJ~ <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANG:")<;\I0-~,~ \ _ \~~~~~~ ~\...~,~~ <br /> <br />STATE CERT OR REGIST # ~~~\4~~<;.."CJ~ <br /> <br />SIGNATURE <br /> <br />COMPANY <br /> <br />SIGNA'I'URiE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />O'fHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST #__________ <br />