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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 IYED <br /> <br />PHONE CONTACT FOR PERMITTING ,1"13- ?cf.:?-33/9 <br /> <br />OWNER'S NAME 6 jf.I-l,/ FF, J I'f7yJ ~o; <br />JOB ADDRESS-d-;j,;<t;-Yrlt SIrC':ef .. 2-ef~rh,/I~ <br /> <br />PHONE <br /> <br />PARCEL ID # II-,;zt. ~/~ CtJ/t). /S~t' 'O.:l.2() <br /> <br />Fl. 3 3_)lI-{I <br />SUBDIVISION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />(OBTAIN FROM PROPERTY TAX NOTI~F.) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />[] REPAIR <br /> <br />[] INSTALL <br /> <br />OSIGN <br />PROPOSED USE:OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />[J MOBILE HOME <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK tl LI~p-Yki ~ e K.. f'S ;d t' s,.....IJ'.a f.1 ( 'tv 02'''0 ~r <br />/ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />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 FORMS. <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 />o BUILDING <br />t1.ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAl, CONSTRUCTION <br /> <br />~t1.." <br />i <br /> <br />AMP SERVICE <br /> <br />'f;{ frctjYc!'~S €"~I'"'j,! 0 W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />CONTRACTOR ..,SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE ~7..::0. /4..:0L- <br /> <br />COMPANY PI9+h ~ )(/~cl-n'c <br />ec- t:JO0 I.::l..t"g <br />STATE CERT OR REGIST # c.,'il,.. - ." .':B 'J <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br />COMPANY ;:;"I<h~ E/~<:.h-/~ <br /> <br />STATE CERT OR REGIST # (!me ~ 05.<;,#'116 <br /> <br />~~3.Y' <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />