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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8'l'B St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE lVED <br /> <br />f~f-otf <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />rx-.-f-r ~J <br />t t (J" <br /> <br />(gJ,ojlJ I4ff~? <br />~ '5"Ml~-hJ bT <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />Zr~,~JdJtS ,~ <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />o SIGN <br /> <br />(OBTAIN FROM PROPF.RTY TAX NOTICE) <br /> <br />o ADDITION <br />D MOVE <br /> <br />[JALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />[JMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D # OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />BUILDING SIZE <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />I? ./IC?t'i.if- 5/1: #'-'7 j.".? 3 CJ .J j <br />/ v <br />SQUARE FOOTAGE HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br /> <br />j )931 <br /> <br /> <br />PERMITS REQUESTED <br /> <br />[J BUILDING <br /> <br />$ <br /> <br />~1' 5ZJ . de <br /> <br />VALUATION OF TOTAL CONSTRUC <br /> <br />o ELECTRICAL <br /> <br />--." <br />- <br /> <br />D GAS <br /> <br />o ROOFING <br /> <br />D SPECIALTY <br /> <br />./ <br /> <br /> <br /> <br /> <br /> <br />VALUATION OF MECHANCIAL INSTALLAT/' <br /> <br />D OTHER ( ~i I <br />\ <br />D FRAME [J STEEL [J OTHER \ <br /> <br />D PLUMBING <br />[J MECHANICAL $ <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES D NO <br /> <br />co~q!t'O~\SECTION <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 />!2,? C ~- ,- <br />~&r~ <br /> <br />COMPANY <br /> <br />?c:&7T 7ihJ~~./ ~eI;~/ <br /> <br />"" <br /> <br />OTHER <br /> <br />STATE CERT OR REGIST # ccco 57157 <br />