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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8D st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE lVED <br /> <br />J ///0<( <br /> <br />, , <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />'}11 c Cfc/ ~ J-z;~e L./7 m /}efl PHONE ~/3 7/~97 /2- <br />"3 $"3 i/ 6-- ~..27 /9 t/~ ;? tf:TLL.5 rL 3"3;92- <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />~IGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />)z{COMMERCIAL <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />[J INDUSTRIAL <br /> <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />[JMULTI-FAMILY <br /> <br />[J# OF UNITS <br /> <br />DESCRIPTION OF WORK ~r V ~~ 1- Z;--r-r/!!/f.:t."oG- J,tV' tvf ,&/?OU/ <br /> <br />BUILDING SIZE V ,.... '1 SQUARE FOOTAGE ~'f"'l HEIGHT 'I k ~ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ~GY-F6 <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 /> <br />PERMITS REQUESTED ( . J ~ <br />[J BUILDING $ VALUATION OF TOTAL CONSTRUCTI~_ <br /> <br /> <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[J PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[JGAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [] NO <br /> <br />~O~~~";SEC. TI.. a..tN. . <br />-,,', .,',-,'--",-,' :,..,-:",,:,","','-'},-.",",,;.:-,,-';:,'-, .... .. '... <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 />COMPA..~Y <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER~ ~ <br /> <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />