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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 RECEIVED <br /> <br />1(-1,,-01 <br />r <br /> <br />JOB ADDRESS <br /> <br />~ f:t ~ ~PHONE <br />D? ,~ . 1, <br />7J, '&1 it If; . ~fJ.: J'; J, ~ {f <br />& 031 ()/)/K! Kf)4tf <br /> <br />CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />jVt <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />;/ <br />WORK PROPSED: [!NEW CONSTRUCTION <br /> <br />DSIGN <br /> <br />D ADDITION <br />o MOVE <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULT I - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />D SWIMMING POOL <br /> <br />o MOBILE HOME <br />D OTHER <br /> <br />DESCR[PTION OF WORK <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT 'PROVAL <br />60 Ii) 1(/, vi.~' Pel-1ft! <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />D BUILDING <br />/ <br />~LECTRICAL <br /> <br />RESIDlENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (l). sET <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (l) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. //' <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCT~~. 1 <br /> <br /> <br />PERMITS REQUESTED Ll <br /> <br />$ VALUATION OF TOTAL CONS ON <br />~ 0 A ~/AMP SERVICE <br /> <br /> <br />ENERGY <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL <br />o OTHER <br /> <br />INSTALLATION ~ljf/ <br />1~ <br /> <br />D PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />C:ONTAACTORSECTION <br /> <br />BUIlDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />i <br />STATE CERT OR ~EGIST # <br /> <br />SIGtfATURE <br /> <br /> <br /> <br /> <br />~*i*f;;)***i*k*2-t lr V <br /> <br />********************************************** <br /> <br />STATE CERT OR REGIST # <br /> <br />t-(" ~#t) -1.- <br /> <br /> <br />ELECTRICIAN COMPANY <br /> <br />***************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OT~R <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />