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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 />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ~ \\t ~')~ tCJo \-L <br />JOB ADDRESS6_ _' , (~~ x:+V€-- <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 />(JSIGN <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />(J COMMERCIAL <br /> <br />(ORTAIN FROM PROPF.RTY TAX NOTI~EI <br /> <br />(J ADDITION <br />(J MOVE <br /> <br />(JALTERATION <br />(] DEMOLISH <br /> <br />(] REPAIR <br /> <br />(] INSTALL <br /> <br />(]MULTI-FAMILY <br />(] INDUSTRIAL <br /> <br />(J# OF UNITS <br />(] SWIMMING POOL <br /> <br />(] MOBILE HOME <br />(J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~4-\\) <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />~O~~. SE~/':~R~~ ~~SD1 <br />j 9L/l/ <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 />&C) <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br /> <br />PERMITS REQUESTED <br /> <br />(] BUILDING <br />~ECTRICAL <br /> <br />$ <br /> <br />AMP SERVICE <br /> <br />(] FLORIDA POWER <br /> <br />(] <br /> <br />W.R.E.C. <br /> <br />(J PLUMBING <br />(] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />(] GAS <br /> <br />(] ROOFING <br /> <br />(J SPECIALTY <br /> <br />(J OTHER <br /> <br />TYPE OF CONSTRUCTION: (J BLOCK <br /> <br />(] FRAME <br /> <br />(J STEEL <br /> <br />(J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA(] YES (] NO <br /> <br />CQNT!Ul.QTO:R>$ECTION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN ..................................:::::::~~...~~~ <br /> <br />SIGNATURi.~~1I: -1/(#4) STATE CERT OR REGIST #elt:()o0.2LjLL3 <br /> <br />****************************************************************** <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 />