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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 aD St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME;R~~t9\lDu;)i . PHONE '115.IGl3Q <br />JOBADDRESs3~~o ~p.~~ 0}.7-~~LMo,~~ 335t+~ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISIOJCl~~~ \Il~ <br />PARCEL ID #35.~'S.~\ .0050.00000 .Ol5G (ORTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [)NEW CONSTRUCTION <br />[) SIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br /> <br />[) ADDITION <br />[) MOVE <br /> <br />[)ALTERATION <br />[) DEMOLISH <br /> <br />[) REPAIR <br /> <br />I1-INSTALL <br /> <br />~i OJO~ <br />.ctO <br /> <br />[) COMMERCIAL <br /> <br />[)MULTI-FAMILY <br />[) INDUSTRIAL <br /> <br />[)# OF UNITS <br />[) SWIMMING POOL <br /> <br />[) MOBILE HOME <br />[) OTHER <br /> <br />BUILDING SIZE <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />Ct~~ QAJr)ci.Lh~~ C1I~ _ aU:t <br /> <br />SQUARE FOOTAGE HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) 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 />[) BUILDING <br />[) ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[) FLORIDA POWER <br /> <br />[) W.R.E.C. <br /> <br />[) PLUMBING <br />m MECHANICAL <br /> <br />$ 4 ~cc- c() <br /> <br />[) GAS <br /> <br />[) ROOFING <br /> <br />[) SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[) 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 />c. .ONTRACTORSECTION. <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 />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />