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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 RECEIVED <br /> <br />~--;?b-oJ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />~;~;Si{1 375'0<;: <br /> <br />BLOCK <br /> <br />PHONE / I 5 - 0 t;C( Z-- <br />l( V7 Co 01 ;Jj'V-'2- <br />SUBDIVISION ~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br />WORK PROPSED: (JNEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: ~AMILY DWELLING <br />D COMMERCIAL <br /> <br />(OBTAIN FROM PROPF.RTY TAX NOTICEl <br /> <br />D ADDITION <br /> <br />(JALTERATION <br />(J DEMOLISH <br /> <br />m--~AIR <br /> <br />(J INSTALL <br /> <br />D MOVE <br /> <br />OMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D # OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />(JOTHER <br /> <br />BUILDING SIZE <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />Re roo rr, <br /> <br />SQUARE FOOTAGE <br /> <br />ICS <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />PERMITS REQUESTED <br /> <br />D BUILDING <br />(J ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />FLORIDA POWER <br /> <br />-----_._~.,.......", <br /> <br /> <br /> <br /> <br />D0"g1! <br /> <br /> <br />INSTALLA~ <br /> <br /> <br />D PLUMBING <br />D MECHANICAL $ <br />D GAS ~ING <br /> <br />D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES D NO <br /> <br />BUILDER <br /> <br /> <br />CO~c:g'O:R;SEC'1'ION <br /> <br />COMPANY <br /> <br /> <br />SIGNATURE <br /> <br />"" <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 />MECHANllCAL <br /> <br />****************************************************************** <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 />