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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TB 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 ~ f'~' 0 V\, 1- <br />. <br /> <br />JOB ADDRESS ( () ~L-\ q <br /> <br />*,us~ ecA-\o l L <br />\-tS\\V\ \ \c u r <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL ID # (y:) - ~Co ~ d-.-I ~ O;LOO -a)OOO 0 -n l "gO (OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br />(J SIGN <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />(J COMMERCIAL <br /> <br />(J ADDITION <br />(J MOVE <br /> <br />(JALTERATION <br />(J DEMOLISH <br /> <br />(J REPAIR <br /> <br />(J INSTALL <br /> <br />OMULTI - FAMILY <br />(J INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RE1TAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />C ~,(\\U <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SElENERGY FORMS. <br />FORMS .j/ /""---- <br />/ / <br />/ /' ..--- <br />(~ <br /> <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 />D BUILDING <br />~LECTRICAL <br /> <br />$ <br /> <br />uo <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: (J BLOCK <br /> <br />o FRAME <br /> <br />(J STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />C.'O.'. NTRAC'1'OR. ...........S. EC.. T. I. a.. N <br />~ ...., >' .'. ...' . c- '" c. .," ."_ -. . .. .." ", .. <br />. ",",'.' -'",', ,,-,- .... -,',' <br /> <br />BUILDlER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />EI.OCmrCIAN ~... ~. ~~. ~. H" H" H..... :::::: fl1;;J~~" ~t Z <br /> <br />SIGNATURE-/ I ~:&. / / ~; STATE CERT OR REGIST # e ( - 07JlJ~U \.{,3 <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 />SIGNA~URE <br /> <br />STATE CERT OR REGIST # <br /> <br />*******************************************************k********* <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />