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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 />DATE RECE IVED <br /> <br />c,.-;} - 01/ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME If ON IN... 1) <br /> <br />JOB ADDRESS i & '! i <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />5Ch {A f+/<:;; <br />/g~ ~f: <br /> <br />PHONt ~ ee Jf1=~f?_ ,/ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ~EW CONSTRUCTION <br />DSIGN <br />PROPOSED USE~GL FAMILY DWELLING <br />DCOMMERCIAL <br /> <br />~DDITION <br />D MOVE <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />DALTERATION <br /> <br />DREPAIR <br /> <br />D INSTALL <br /> <br />D DEMOLISH <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOB I LE HOME <br />D OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT .APP~OVl\L / <br /> <br />DESCRIPTION OF WORK ~ N ~ .-Io1/1.R-r~ -f-~- <br /> <br />BUILDING SIZE g6e Yf~ SQUARE FOOTAGE ' 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 FOffi~S. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PJ~S REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />D BUILDING <br />)( ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D <br /> <br />W,R.E,C. <br /> <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />o FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />CQN'l'RAcroR>SECTION <br /> <br />l <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN <br /> <br /> <br />. .. .. . .. .. ..... .. ... ... .. ... .. . .. .. . . . .. ... .: . ~ . . .. ... . . <br /> <br /> <br />.. COMPANY 1/ ~. <br /><;7 <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />**************** <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 />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />