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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />11.~y <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ~\ \ C{ 'i\,-\- J\q0 ':re. ~ C J.. \0 \ c- <br />JOB ADDRESS 5BLfD I ~ 6-r: . _ _ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # 1/- d(~-;J I -<.x:ko - () lbc?O - 0 \. oD <br /> <br />PHONE <br /> <br />5 tf-f{~ /~;r <br /><;;T · <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPF.RTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[J ADDITION <br />[J MOVE <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />o DEMOLISH <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~~\U ~o IlYVtf S*WVIC-e. <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 />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 />[J BUILDING <br />[J ELEC'l'RICAL <br /> <br />$ <br /> <br />C/,lCJ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~RIDA POWER [J <br /> <br />W.R.E.C. <br /> <br />[J PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br />CObTT!Ut.GT9:aSECTION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN *****H*******H*H***H**********:::='jjj;;b~**fJ~lr: e <br /> <br />SIGNATURE~d ~dA..' STATE CERT OR REGIST * ttrZ-O.06:J.'-IL(J <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <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 />