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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 />? -1- o( <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS ~ 4 (j~ .~ j~ \- Q ~~_ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PHONE <br /> <br />L~ cl~~ ~ ~~\:~~ ~C--:'\~\: <br /> <br />BLOCK SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: oNEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: oSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />(ORTAIN FROM PROPERTY TAX NOTTCEl <br /> <br />oALTERATION 0 REPAIR ~ALL <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~ ~ ~ "- '\J... ~::......Jl.../ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />// '--"\ <br />,/' <br />//1, ! '71 <br />h;1 ' cI ////' <br />~.,/' <br /> <br />W.R.E. . -------/-/ <br /> <br />o BUILDING <br />o ELECTRICAL <br /> <br />~UMBING <br />o MECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o <br /> <br />$ <br /> <br />oGAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES 0 NO <br /> <br />l <br /> <br />C9~C::~:RSECTION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER C\ . /! ") COMPANt..~'}..",~,s.. \ \~~\<;.\. ~~~\~~\,~ <br />SIGNATURE 1<20-^~..' ~i~^9 STATE CERT OR REGIST # <:t~~llr;~so;.,():::, <br />/i'JO <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 />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />