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<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 !J.rl17 (-0 L( <br />DATE RECEIVED ~ ...:. <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME J ~a I"") <br />JOB ADDRESS 7 8" ') ) <br /> <br />50 / ~)'-- G( <br />Id1A 5/ <br /> <br />PHON( f5() ) 779 - rc7 C( 0 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <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 />(OBTAIN FROM PROPF.RTY TAX NOTICE) <br /> <br />(JALTERATION ~IR (J INSTALL <br />(J DEMOLISH <br /> <br />(JMULTI-FAMILY <br />(J INDUSTRIAL <br /> <br />(J# OF UNITS <br />(J SWIMMING POOL <br /> <br />(J MOBILE HOME <br />(JOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT <br /> <br />(I/?'~r <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />Ovt f)eal OVfr7?), <br />I / <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 />D BUILDING <br />(J ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />(J FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D PLUMBING <br />(J MECHANICAL <br /> <br />$ <br /> <br />~3t?;,1 ;?~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />(J GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: (J BLOCK <br /> <br />D FRAME <br /> <br />(J STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />C9NTM-Q!JX):RSECTIQN <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 />********************************************i*~*********~********** ~ ~. <br />MECHANICAL / COMPANY (J j.//J/)/?Vc, {/'I 'J Ir>~/1/;? ~ /'17 <br /> <br />SIGNATURE...//"- 1/ . STATE CERT OR REGIST #( ..1('(J.5 y 7'7 I <br /> <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />