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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED ~\\"'\c>t <br />PHONE CONTACT FOR PERMITTING J~- 3\\~~ <br /> <br /> <br />" -- <br /> <br />~ ~~~ PHONE 1~-3\\1 <br />( ~N\) 3~33 ~~\lD~ t<:t.~~~\S") <br /> <br />OWNER'S NAME ~~~ ~~,,~ <br />JOB ADDRESS 3'69:;3~ 5'~ \\.:Jc ~\\'\~\}...s. <br /> <br />~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: (JNEW CONSTRUCTION <br />(J SIGN <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />(J COMMERCIAL <br /> <br />(J ADDITION <br />D MOVE <br /> <br />(ORTAIN FROM PROPERTY TAX NOTICE) <br />(JALTERATION (J REPAIR 'A INSTALL <br />(J DEMOLISH <br /> <br />(J # OF UNITS <br />}QSWIMMING POOL <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />(JMULTI-FAMILY <br /> <br />(J MOBILE HOME <br />(J OTHER <br /> <br />(J INDUSTRIAL <br /> <br />DESCRIPTION OF WORK "R~ ~ b~ ~\"""~,~ Yoo...... <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 />~BUILDING <br />(J ELECTRICAL <br /> <br />$--5200 I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />(J FLORIDA POWER <br /> <br />(J <br /> <br />W.R.E.C. <br /> <br />(J PLUMBING <br />(J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />(J GAS <br /> <br />(J ROOFING <br /> <br />(J SPECIALTY <br /> <br />(J OTHER <br /> <br />TYPE OF CONSTRUCTION: (J BLOCK <br /> <br />(J FRAME <br /> <br />(J STEEL <br /> <br />(J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA(J YES (J NO <br /> <br />CON'rRACTO. R. '....S. Ee. T. ION <br />' "'.,', " . ' _,'. . . . ~.' .d." " '. > .' .. . . ." <br />..'- ....,. -, . ' ",,, -, . ',',' -", <br /> <br />BUILDER COMPANY <br />SIGNATORE--~<~-~--=' ~~ STATE CERT OR REGIST ! <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 />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 />