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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME L 4't.~,.r; To".vs~"c/ <br />JOB ADDRESS ~Bo ( Pcl-~t--:f&N~~""..1jt <br /> <br />PARCEL ID # /3 ,..?~ -.2./- n/7 0 - tic 2()o .; 7.-1 (, 0 <br /> <br />PHONE 7 7~ '1( //~ <br /> <br />?~'t'.(,~' . <br /> <br />SUBDIVIS ON <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />(ORTAIN FROM PROPERTY TAX NOTI~EI <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br />(J SIGN <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />(J COMMERCIAL <br /> <br />(J ADDITION <br /> <br />(JALTERATION <br />(J DEMOLISH <br /> <br />(J REPAIR <br /> <br />(J INSTALL <br /> <br />(J MOVE <br /> <br />(JMULTI-FAMILY <br />(J INDUSTRIAL <br /> <br />(J# OF UNITS <br />(J SWIMMING POOL <br /> <br />(J MOBILE HOME <br />(J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />jl.t:fJ~ ~~. 4'j; t~-:-/ <br /> <br />SQUARE FOOTAG <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />(J BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />(J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />(J FLORIDA POWER <br /> <br />(J W.R.E.C. <br /> <br />(J PLUMBING <br />(J MECHANICAL <br /> <br />(J GAS <br /> <br />(J ROOFING <br /> <br />/:. eo <br />$ {O~O'-- <br />(J SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />C:Qw.rR1l.QT()~i.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 /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />COMPANY <br /> <br /> <br />STATE CERT OR <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />