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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-Q021 <br /> <br />DATE RECE tVED <br /> <br />OWNER'S NAME <br /> <br />~ <br /> <br />J ??D3 <br /> <br />.Q <br />L0{~ <br />,- ;t ~~~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />JOB ADDRESS <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />(] SIGN <br />PROPOSED USE: (]SGL FAMILY DWELLING <br />(] COMMERCIAL <br /> <br />(OBTAIN FRO!1 PROPERTY TAX NOTICE) <br /> <br />(] ADDITION <br />(] MOVE <br /> <br />(]ALTERATION <br />(] DEMOLISH <br /> <br />(] REPAIR <br /> <br />(] INSTALL <br /> <br />(]MULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />(] SWIMMING POOL <br /> <br />(] MOBILE HOME <br />(] OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br /> <br />~QUARE FOOTAGE <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 FOffi1S. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />HEIGHT <br /> <br />(] BUILDING <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />(] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />(] FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[J PLUMBING <br />tJ MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />(] GAS <br /> <br />[J ROOFING <br /> <br />(] SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: (] BLOCK <br /> <br />[J FRAME <br /> <br />(] STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES (] NO <br /> <br />BUILDER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # ~~ <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 />