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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 IVED <br /> <br />/f -?--Ol <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME \1>, ;~\ LJa"'(;J ('"",~dtJ IkJtt:" <br />JOB ADDRESS ~M~ ttiZ <br /> <br />PHONE <br /> <br />((o5G W-~ G l' <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: []SGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />[] ADDITION <br />[] MOVE <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />[] INSTALL <br /> <br />[] DEMOLISH <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 />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />(< ~ H,,.K- <br /> <br />_,,1I:7/..- { <br />SQUARE FOOTAGE <br /> <br />305j <br />31'7/J-tfb <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />~UILDING <br />[] ELECTRICAL <br /> <br />$ <br /> <br />PERMITS REQUESTED <br /> <br />~1 -- ,c 0 <br />:J 0 -- <br /> <br />& (1) SET E~F-GYFORMS. <br />FORMS . ,,,/' <br />// --~ <br /> <br /> <br />I 4, .rfid ~ ~_3~ <br /> <br /> <br />VALUATION OF TOTAL CONSTRUCTION ~ ~ <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br /> <br />) <br />I <br />/ <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />D PLUMBING <br />D MECHANICAL <br /> <br />(J~ /fJO ~ <br /> <br />$ <br /> <br />D GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />CON!'RACTOR+SECTI~ <br />'...:':.'.' '_:': -,.,.--.,;'-',,'-',',':;-"'-'-.",' ',; <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 <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 />SIGNATURE <br /> <br />L t?-f~ ( <br />g;~L <br /> <br />----~. <br /> <br />COMPANY 5"c,~ p/Jr'.i/"f~.v ~.{.~1 <br />./ <br />STATE CERT OR REGIST # r:CUJ5'7'i'57 <br /> <br />OTHER <br />