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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, F:L 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />o -;1~-i)i <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />,1(ck' /:r.,j,z ?o <br />~ 02. I :L. ,;:;;( /5 '7 <br /> <br />JOB ADDRESS <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />01-/c-(: -I- <br /> <br />BLOCK <br /> <br />PARCEL ID # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br />PROPOSED USE~GL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />SUBDIVISION <br /> <br />[J ADDITION <br /> <br />(ORTAIN FROM PROPERTY TAX NOTICEl <br /> <br />[J MOVE <br /> <br />[JALTERATION <br />[J DEMOLISH <br /> <br />[] REPAIR <br /> <br />[J INSTALL <br /> <br />OMULT I - FAMI L Y <br />[J INDUSTRIAL <br /> <br />0# OF UNITS <br />[J SWIMMING POOL <br /> <br />(] MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~/'4/;"9 q/;- ~/7/~~ <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 />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J <br /> <br />FLORIDA POWER <br /> <br />\ <br />I <br />i <br />qC/; / <br />( )3-1/> <br />W~ <br /> <br />.....-~-_..---- <br /> <br />[J BUILDING <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J <br /> <br />[J PLUMBING <br />~MECHANlCAL $ <br />[J GAS [J ROOFING [J SPECIALTy' <br /> <br />VALUATION OF MECHANCIAL INSTALLA.TION <br /> <br />(] OTHER <br /> <br />TYPE OF CONSTRUCTION: (] BLOCK <br /> <br />(] FRAME <br /> <br />(] STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREA[J YES (] NO <br /> <br />r <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 /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # ' <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ COMPANY <br />~ ~ STATE CERT OR REGIST H _ ~ <br /> <br /> <br />* *** ***** * * ** * * * * * * ** ** * ** *** * * * ** * * ** * ** **** * * * * * ** * * *;.* * * * ** * <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />