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<br />DATE RECEIVED <br /> <br /> <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 />OWNER'S NAME <br /> <br />~ <br />S-t:fS-3 -- G .'==3 {-- <br /> <br />~ ==T FOR PERMUTING <br /> <br /> <br />PHONE <br /> <br />JOB AI)DRESS <br />, <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCE~ 10 # / {- ..2-~ - 2--( -U ~ l () --o? (DO <br />WORK ~ROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br />PROP~SED USE: [JSGL FAMILY DWELLING <br />I [J COMMERCIAL <br />CJ ;S:A::"JTH DEPAR'fMENT APPROVAL <br /> <br /> <br />~ FOOTAGE <br /> <br />SUBDIVISION <br />~~ (/ <br />(ORTAIk FROM PROPERTY TAX NOTICE) <br /> <br />[J ADDITION [JALTERATION [JREPAIR [J INSTALL <br />[J MOVE [J DEMOLISH <br />[JMULTI-FAMILY [J# OF UNITS [J MOBILE HOME <br />[J INDUSTRIAL [J SWIMMING POOL [J OTHER <br /> <br />DESCRtPTION OF WORK <br /> <br />, <br />BUILDtNG SIZE <br /> <br />HEIGHT <br /> <br />RES~D 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 IGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />[J BUILpING <br />[J ELECTRICAL <br /> <br /> <br />'0 ~ITS REQUESTED <br />.0 1 j-- <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[J PL~ING <br />I <br />[J MECHkICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />I <br />TYPE OF 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 />STATE CERT OR REGIST # <br /> <br /> <br /> <br />SIGNATURE <br /> <br /> <br />CONTRAC.TOR.. ...i........S. ECT. IO. N <br />, .- _.,' '"c..._ . .. c."., '. .. .. .. .." .. <br /> <br />BUILDtR <br /> <br />COMPANY <br /> <br />****************************************************************** <br /> <br />ELEC'$ICIAN <br />SIGNTURE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PL~R <br />I <br /> <br />COMPANY <br /> <br />SIGNAlTURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHAiNlCAL <br />SIGN~TURE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />I <br />! <br />! <br />I <br />OTHE~ <br /> <br />SIGN~TURE <br /> <br />***************************************************************** <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br />