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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />:J - 3 / ~ ()f <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS ..3:.lt S If <br /> <br />"\ t"")""lA '" ~~:~... , <br /> <br />\ ~J cl.~~ ~\S'~~\.~ ~~^"~ <br /> <br />LEGAL DESCRIPTION: LOT (S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: DNEW CONSTRUCTION <br />D SIGN <br /> <br />(OBTAIN fROM PROPERTY 'TAX NOTICE) <br /> <br />D MOVE <br /> <br />DALTERATION <br />D DEMOLISH <br /> <br />D REPAIR <br /> <br />~STALL <br /> <br />DADDITION <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERC IAL <br /> <br />DMULT I - FAMI L Y <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOB HE HOME <br />D OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAl, <br />DESCRIPTION OF WORK ~ ~ ,,\. ~ I'>- <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 />COMlv1ERCIAL: A.TTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMI'l' ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUC'l'ION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D FLORIDA POWER <br /> <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />~BING <br /> <br />D MECHANICAL <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL <br />D OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAHE <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 />.Cl........-...~-.......'.......................................:.-....................."-.......'..................... <br />, ^ <, f, _~oj./" . _ 0 ." .. .. , <br />c', .<.......;j:;,'~.iiXS.Om;tOfl <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 n....----- <br />SIGNATURD_~ r_~ <br /> <br />COMPANY~" L \~~\ ;3:\ ~ <br />~~,~ _ ,Q..~S \)..'tt'-.. ....~ <br />STATE CERT OR REGIST # ~~'--- \Y.::l~~C'I~ <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 />