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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 eD St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />Y;;~r <br /> <br />Ct.+~ ~ 2qJ~rtItIIsPHONE <br />OWNER'S NAME ..-~Pd~ D5 ~ <br />JOB ADDRESS lj9/1~ (;~ h/ycl <br /> <br />CONTACT FOR PERMITTING <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL In # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />D SIGN <br /> <br />{ORTAIN FROM PROPF.RTY TAX NOTICE\ <br /> <br />D ADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />DCOMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />S poT L~ G- lIT <br /> <br />FoR <br /> <br />F-Lp,-C Pol-f. <br /> <br />, ' <br />L.'G-H-ii u(t: <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 />D BUILDING <br />D ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AliA AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. ; <br /> <br />. J I\~" \,'\Q~ <br />V.J' \0 \ <br />VALUATION OF MECHANCIAL INSTALLATION ,# Ix <br />\ Q}, / /(f), ' <br />D SPECIALTY D OTHER \S ~ <br /> <br />[J FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />DGAS <br /> <br />o ROOFING <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />cq~Qt,l'()~';SEC'1'I()N <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN r\ COMPANY \,\", UG} .A-:S <br /> <br />SIGNATURE ~~~'\-Jn'1f4a STATE CERT OR REGIST # <br />f)(~-;;L?3-~?'2~ (lEd <br />*************************~*********~* ~*~************************ <br /> <br />ELE-L~~ .~ t <br />~ C 00 o?-S ~ 2... <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 />