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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 />OWNER'S NAME <br /> <br />~.~ <br />~S-9~T6~ ~ <br /> <br />PHONE <br /> <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ItNEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE:IISGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />D ADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />o INSTALL <br /> <br />D MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />o OTHER <br /> <br />~ ~"b. 1/1')1.,0 REST~N~~ D~"it:';-r~J u,,;lj <br />DESCRIPTION OF ORK D~ ~ '-.: \~ <br />l.p r r\ <br />BUILDING SIZE (!) x: ).- -"-- SQUARE FOOTAGE HEIGHT <br /> <br />D BUILDING <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. 4 <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.-r7t/~ fJlfL1vOr 1<':> <br /> <br /> <br />f6k- {N;}CJ-l1 ~7i~lro/ <br />(~ JL~,~l>- <br />VALUATION OF TOTAL CONSTRUCTION J ~L'j <br />D FLORIDA POWER D W.R.E.C. <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />DPLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 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 />~O~QTQ;R<$ECTIO~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************'k********* <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />PLUMBER <br /> <br />****************************************************************** ~ <br /> <br /> <br />\, COMPANY ~ ~ _ ?~~ <br />'Y'"'Y\ STATE CERT OR REGIJ # ~ ~ (0 't <(j(g ( <br /> <br /> <br /> <br />SIGNATURE <br /> <br />***************************** *********************************** <br /> <br />MECHANICAL COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST #_ <br />