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<br />.. <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8'1'B St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />r '- <br /> <br />OWNER'S NAME fd 1 (!111M )--r /}-6-!3 Gd L6/)1/ <br /> <br />JOB ADDRESS -3') 0 L 'L C/f~/f/CY /1--1/&. <br />/' <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[]SIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />[] ADDITION <br />[] MOVE <br /> <br />[JALTERATION <br />[J DEMOLISH <br /> <br />[] REPAIR <br /> <br />[] INSTALL <br /> <br />[]MULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[]# 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 />k - ;2 00 .-?//~?/ 2.5>1/ <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 />[J BUILDING <br /> <br />J-/ <br />'37~tJ <br />. .) - <br />---- <br /> <br />~ <br />t,' ~- <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[] PLUMBING <br />[] MECHANICAL <br /> <br />DGAS <br /> <br />[J ROOFING <br /> <br />D SPECIALTY <br /> <br />~ <br />VALUATION OF MECHANCIAL INSTALLATION ~ tc) 1 <br />[J OTHER ~ j <br /> <br />[J STEEL <br /> <br />[] OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [] NO <br /> <br />CONDAC~,R;.:SECT:ION <br />\.':.-.. :--'.' ",,-' -,..'-' """,:":,,.,.., ,.,.',,',1-."._ .-'_L....'~ '''._ ''''',._,__,', _:., .';;,_........, ">'"__. ':,:.." <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 />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 />12 tJ (7 "c/ fJ t>'- <br /> <br />COMPANY /C )c.,f f-- /}J .) ';vI jJ 1J44 <br />STATE CERT OR REGIST # I2C,1 (J if,6 2- LJ ) <br /> <br />OTHER <br /> <br />/J '-- <br />6--:411/ ;vi <br />'-/!-6 <br /> <br />~- <br /> <br />SIGNATURE <br />