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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8D St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IWD <br /> <br />f-' ~cJr <br /> <br />OWNER'S NAME <br /> <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ~EW CONSTRUCTION <br />OS IGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br />D MOVE <br /> <br />o ALTERATI ON <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <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 />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />to A 11 lA. ~ . j{ ;j/ ~ ( <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <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 /> PERMITS REQUESTED <br />D BUILDING $ 60 VALUATION OF TOTAL CONSTR <br />.~TRICAL AMP SERVICE 0 FLORIDA POWER <br /> rt ~J.,,~1 <br />o PLUMBING <br />D MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />D GAS D ROOFING o SPECIALTY D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE <br /> <br />c:Q~c:'1!9:R..$EC:TION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN **********************************:::::::****j:f~~;;t**t*J;~~).~ <br /> <br />SIGNATURE 1r:tr1b IJ. ulll~ STATE CERT OR REGIST # h~tJO~2J#1 <br /> <br /> <br />****************************************************************** <br /> <br />PLUMB~R <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />*******************************************************k********* <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REG 1ST # <br />