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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8D St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />.G"':~/jr ;/f)dJ~J. 4tIJ ~ONE <br />JOB ADDRESS fir ~ j · #III ~ tA rf- ( <br />LEGAL DESCRIPTION, LOT IS) , BLOCK I SUBDf(ISI''o'~d ttJ e~ if 1/1 <br />PARCEL ID # 1:" 'f b" vi w :s,9f5'", f)11!#"'~eI;eN FROM ROPF.RTr TAX NOTreF.1 <br />WORK PROPSED: NEW CONSTRUCTION D ADDITION DALTERATION D REPAIR D INSTALL <br /> <br />OWNER'S NAME <br /> <br />; <br /> <br />D SIGN <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULT I - FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~if) h Iff. J., C . $t lj;, c,: <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />D BUILDING <br />~CTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />~ AMP SERVICE D FLORIDA POWER D <br /> <br />W.R.E.C. <br /> <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />..-. <br /> <br />o c:: PRr. IAL TY <br /> <br />D OTHER <br /> <br />DaT ?MJv,lT <br />R~ \jl J1.f. j) <br />UTi <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br />NC:JI <br />K.o\.JJ. <br /> <br />COwrR1t.GTOaSECTION <br /> <br />COMPANY <br /> <br />WiL"-. N).i.)i}) <br />/'3L)) ~, I ?r)fl).-(II ~t'... <br />1-L1ic_ <) /Y1v1Qi. tf ~pL, <br /> <br />STATE CERT OR REGIST # <br /> <br />*;;)....w*:::::..w * **liti,*J"*2* t~ft,0 <br /> <br />if. STATE CERT OR REGIST # t fd Opt) r '.J <br /> <br />, **************w*************************************************** <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 />