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<br />- <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TB St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 ~~ (i7~C)f <br />DATE RECE lVED _ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />QWNER'SNAME ~~#~ ~L~ <br />JOB ADDRESS __~ 7/N be/' tJ~ <br />LEGAL DESCRIPTION: LOT(S) ~ <br />PARCEL ID # (?-- U-2/- 0200- <br /> <br />PHONE <br /> <br />Cf'/~) 7/F~oc;O/ <br />-,. <br /> <br />BLOCK SUBDIVISION Co VU 4- S'Z) uO-f'c:. <br />$l:J()OO - 0;;22"0 (OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION D ADDITION (JALTERATION D REPAIR D INSTALL <br /> (J SIGN D MOVE D DEMOLISH <br />PROPOSED USE: (JSGL FAMILY DWELLING OMULTI-FAMILY D# OF UNITS D MOBILE HOME <br /> DCOMMERCIAL D INDUSTRIAL D SWIMMING POOL (J OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ()Yld ~ d- rou ~ <br /> <br />Spr"NkJ~~, <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />(J BUILDING <br />1:/' ELECTRICAL <br /> <br />iPLTMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />(J FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />(JGAS <br /> <br />(J ROOFING <br /> <br />(J SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: (J BLOCK <br /> <br />(J 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 />CON'$ACTOR.' '}.,S. ZCTIO.. N <br />' -. ..' - --..' -", '-,' '." .... ,',' ,,- <br />.', .. ' .'.....' ','",,',,", ',' .. '-' <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 />,Z-2!t~L~ <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />...- ;. <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />