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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 aD 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 I S NAME tJ r/VLl:.-t :To ~ ,(/CA ~ <br />JOB ADDRESS tfRo/ ArA. PoM ~..tJ CA,.,LJrI:.2 17 <br /> <br />BLOCK <br /> <br />PHONE 73 e-;P, u <br /> <br />Z?-PH1P'~((./ P-I <br />SUBDIVISION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br /> <br />I ?- 2' ..2j - O(:104t')O'l,OO...'?"?'C <br />. <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br />(J SIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />(ORTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[J ADDIT ION <br /> <br />[JALTERATION <br />[J DEMOLISH <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />o MOVE <br /> <br />(JMULTI-FAMILY <br />(J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />o MOBILE HOME <br />(JOTHER <br /> <br />BUILDING SIZE <br /> <br />~RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />a:t~ f.A-..-v?--(j (Z;;A <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />, 0- <br />$ /LJfo'--- <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 />CQ~q!J;f():R-..--...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 /> <br />STATE CERT OR REGIST # <br /> <br />************************** <br /> <br />COMPANY <br /> <br /> <br />CLL <br />~7 <br />./ <br /> <br />SIGNATURE <br /> <br />STATE CERT OR <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />