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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8R St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />$ - ;2!J-O~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISIO <br /> <br />PARCEL ID #'35.~5'~L .0050 . <XxJoO-ot.9o <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />OS IGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />[] ADDITION <br />o MOVE <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />.a. INSTALL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESC~IPTION OF WORKClI ~ QhQr\C{f- a.u.X <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 />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br /> <br />/." ..----..... <br /> <br /> <br />/c~t~. I <br />~/-; <br /> <br />PERMITS REQUESTED <br /> <br />D BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D W.R.E. <br /> <br />D PLUMBING <br />~MECItANICAL <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />$ 4~OO,OD <br />I <br />D SPECIALTY D <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES D NO <br /> <br />CO~CT();RiSECTION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNAiTURE <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 />****************************************~*~*t*\JL*tA* <br />"'CIWlI~ COMPAN. ~ Il:..- <br /> <br />SIGNATU ~ ~~W STATE CERT OR REGIST #RmOOlqq:JI <br /> <br />***************************************************************** <br /> <br />OTHER <br />SIGNA~URE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br />