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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 />]A PHONE <br /> <br />OWNER'S NAME ~c!)rh-l r~ <br /> <br />JOB ADDRESS ).2-/ G - ~ <br /> <br />CONTACT FOR PERMITTING <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL In # If - .2.-' -2-( -0 f>{ 0 -(2-pO/i -f) (7 0 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br /> <br />[J ADDITION <br />[J MOVE <br /> <br />[JALTERATION <br />[J DEMOLISH <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[JMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />DSWIMMING POOL <br /> <br />D MOBILE HOME <br />[JOTHER <br /> <br />BUILDING SIZE <br /> <br />~~ HEALTH DEPARTMENT APPROV1lL <br /> <br /> <br />- SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />[J BUILDING <br /> <br />$ <br /> <br />:< :; 1'0 <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />D PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[JGAS <br /> <br />[J ROOFING <br /> <br />D SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />D FRAME <br /> <br />[] STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />SIGNATURE <br /> <br />iN <br /> <br />COMPANY <br /> <br /> <br />C()~q~~,$E(:TION <br /> <br />BUILDER <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 />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 />