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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 />Y-:?9-otj <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />air :~ ~ A?~ PHONE <br />('1,:5:;; 'Lj~ /~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: []NEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: []SGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />(OBTAIN FROM PROPF.RTY TAX NOTICEl <br /> <br />D ADDITION <br />D MOVE <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />o MOBILE HOME <br />D OTHER <br /> <br />BUILDING SIZE <br /> <br />CJ RESTAURANT & HEAL. TH DEPARTMENT APPROVAL - ~_' <br /> <br />~-5 ~lLL tJt~~ t:~fl. ~f!zJ <br /> <br />SQU . E FOOTAGE HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />& (1) SET ENERGY FORMS. <br /> <br />roRM~ <br />(F.)91.2 <br />~7 <br /> <br />) <br />/ <br /> <br />W~PERMITS REQUESTED <br />D ~UILDING ~~./'" ~ VALUATION OF TOTAL CONSTRUCTION <br />~LECTRICAL / .L~ AMP SERVICE D FLORIDA POWER D <br /> <br />W.R.E.C. <br /> <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLA.TION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />o 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 AREAD YES D NO <br /> <br />cO~q~~/SEC'rION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECT!RICIAN <br />S IGNAlTURE J/ <br /> <br />********************************************~***************** <br /> <br />~ '1-. / it ~?&-=-l- ~ <br />COMPANY , ~~j,1 . ~L. t ~.. <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 />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 />