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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 lVED <br /> <br />OWNER'S NAME <br /> <br />Jf){// ^ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />JOB ADDRESS .3 7.s 0 K <br /> <br />(!rJ~7 (J E /C <br />i/iU~t=c <br /> <br />PHONE <br />/,-;/,41"'<7/l7 0 C /C (~ <br /> <br />LEGAL DESCRI P'I'I ON: LOT (S) <br /> <br />BLOCK <br /> <br />PARCEL ID # <br />WORK PROPSED: (JNEW CONSTRUCTION <br />(J SIGN <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />(JCOMMERCIAL <br /> <br />SUBDIVISION <br /> <br />(ORTA.IN FROM PROPERTY TA.X NOTIC:El <br /> <br />(J ADDITION <br />(J MOVE <br /> <br />(JALTERATION <br />o DEMOLISH <br /> <br />(] REPAIR J2lJNSTALL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />(] SWIMMING POOL <br /> <br />(] MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />r <br />DESCRIPTION OF WORK ~ C/2EC V/'/'? Yc F&/V(2fr::- <br /> <br />BUILDING SIZE SQUARE FOOTAGE ~;7~ <br /> <br />, 1" <br />HEIGHT ~ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & {I) 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 />o BUILDING <br /> <br />$ / 0?6C.o 0 <br /> <br />PERMITS REQUESTED <br /> <br />(J ELECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />(J PLUMBING <br />tJ MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />(] SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: (J BLOCK <br /> <br />(] FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />c <br /> <br />CONTRACTOR SECTION ] <br /> <br />COMPANY /...J;c..70"v <:;-/1, T"c:.c /~/ jc- S /A/C <br /> <br />BUILDER J <br />SIGNATURE~/"717 A/f ~ <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 />