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<br />OWNER'S NAME <br /> <br /> <br />PERMITTING <br /> <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 (e' <br />813-780-0020 FAX:813-780-0021 , <br />DATE RECE lYE <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL In H '\- <br />WORK PROPSED: (JNEW CONSTRUCTION <br />(J SIGN <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />(J ADDITION <br />(J MOVE <br /> <br />(JALTERATION <br /> <br />CI REPAIR <br /> <br />(J INSTALL <br /> <br />(J DEMOLISH <br /> <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />(J COMMERCIAL <br /> <br />(JMULTI-FAMILY <br />(J INDUSTRIAL <br /> <br />(J# OF UNIT~3 <br />(J SWIMMING POOL <br /> <br />(J MOBILE HOME <br />(J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />EST/\Ul1ANT & HEALTH DEPAR~P~OVAL <br />.---- ~ ~ <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 FOP~S. <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 />(] ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />(] FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />(] PLUMBING <br />b MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALL~TION <br /> <br />(J GAS <br /> <br />(J ROOFING <br /> <br />(] SPECIALTY <br /> <br />(J OTHER <br /> <br />TYPE OF CONSTRUCTION: (J BLOCK <br /> <br />(] FRAME <br /> <br />(] STEEL <br /> <br />(J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br />COMPANY <br /> <br /> <br />BUILDER <br /> <br /> <br />CONTRACTOR SECTIa <br /> <br />SIGNA <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 />