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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 />~-""'-t7r <br />DATE RECE IVED L 6. v _ <br /> <br />PHONE CONTACT FOR PERMITTING $/J'" 7)'.7- k..sy~ <br /> <br />E.,(d~~P f)Ke // ~ N,'c6u/PHONE .~~8'3;J? <br />JOB ADDRESS 4~ 7'?rg- 6z{ 2.f. .<~_~ 3~_'1_ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />OWNER'S NAME <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # /y....2 6' ... AI - (J) O/t? .. t:)3_?~t:) -t? / 3 ~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />DSWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o ~'FAURANT & HEALTH DEPARTMENT APPROVAL <br />fR,v....( l' . ( ) <br />DESCRIPTION OF WORK reo r1 Co e. 0 rJ c!) n t::. s i J e ~h?td'e/l <br /> <br />BUILDING SIZE SQUARE FOOTAGE /'YIJ-If ~ HEIGHT ~.;I. <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />[] STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />BUILDER <br />SIGNAT~ <br /> <br />CONTRACTO;R .. SECTION <br />f}(A-J-JU./f" <br /> <br />COMPANY <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 />****************************************k****************.********* <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 />