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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8n St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />3/1/DI <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />J1ll{_4ff!1 <br /> <br />PHONE <br /> <br />7rC{- ~:2;2.2 <br /> <br />JOB ADDRESS <br /> <br />5/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: (JNEW CONSTRUCTION <br />(J SIGN <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />(J COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />(J ADDITION <br />(J MOVE <br /> <br />(JALTERATION <br />(J DEMOLISH <br /> <br />(JREPAIR <br /> <br />(J INSTALL <br /> <br />(JMULTI-FAMILY <br />(J INDUSTRIAL <br /> <br />(J# OF UNITS <br />(J SWIMMING POOL <br /> <br />(J MOBILE HOME <br />(J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />.5eUl~y t..il)e fet!tl?'M-@VJf <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br /> <br />~~~F;;t) <br />( ~/ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <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 />o ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />(J FLORIDA POWER <br /> <br /> <br />o <br /> <br />~ PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />o GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: (J BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />(J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />cO~q!t'9:R...SBCTION <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 />~ ~ COMPlINY ~/,v J4J'11'J fft.0'l1-? h;!:, <br />/ ' / <br />~ STATE CERT OR REGIST # /iF ctJf.Rt'l"'"1 <br /> <br /> <br />** ********~***************************************************** <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />