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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 aTH St, Zephyrhills, FL 33542 <br />B13-780-0020 FAX:B13-780-0021 <br /> <br />DATE RECE IWD <br /> <br />;1- 3/-01( <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br />JOB ADDRESS ~ ~4ljd.. \"'\"-"~~;f'r-,..' <br /> <br />PHONE <br /> <br />L~~ d..~\ ~~~".~~ ~~\~ <br /> <br />LEGAL DESCRIPTI ON: LOT (S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NO'fICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />Os I GN <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o C OMl1ERC IAL <br /> <br />o ADDITION o ALTERATION o REPAIR ~S'1'ALL <br />o MOVE 0 DEMOLISH <br />OMULT I - FAMIL Y 0# OF UNITS o MOBILE HOME <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~SU\.)St"-- <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IE' SIGN PERMI'l' ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY <br />FORMS. <br /> <br /> <br />FORMS. ._, <br /> <br /> <br />) <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />~LUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLA'I'ION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />. . 'Iii ,-", -- ".- <br />,JEti@ljg;';;Ql't <br /> <br />,-l <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 C\ y "" <br />SH~NATURE~ ~'- ~A_Q~_ <br /> <br />COMPANZb~~~,<... 'L... \>s~,\,~~~~\\,,~\f'.~ <br />S'I'ATE CERT OR REGIST # ~~~~ \ l(~SC--.C) ~ <br />. <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # . <br /> <br />***************************************************************** <br /> <br />OTHER i <br /> <br />COMPANY <br /> <br />SIGNATURE. <br /> <br />STATE CERT OR REGIST # <br />