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<br />CITY OF ZEPHYRHIIJLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 eTH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />?,i~~kL/' <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME 6-P,r1N~ lfo^r"L~ <br />JOB ADDRESS ,373 c),.< {,.. If j:} u e.. <br />. <br /> <br />PHONE <br /> <br />~oTII.;,~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: DNEW CONSTRUCTION <br />[] SIGN <br />PROPOSED USE: []SGL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[] ADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />[] INSTALL <br /> <br />DMOVE <br /> <br />[] DEMOLISH <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />0# OF UNITS <br />[] SWIMMING POOL <br /> <br />E1 MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK Jt1, /1. ,Sa r <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 />D BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />o PLUMBING <br />b MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o s'rEEL <br /> <br />o OTHER <br /> <br />FINISHED FIJOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />DNa <br /> <br />c <br /> <br />CONTRACTOR SECTION <br />COMPANY ~~~ <br /> <br />BUILDER <br />SIGNATURE W 0I;r-../i~ <br />****************************************************************** <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />w~p~ <br /> <br />-f..4 C ~ <br />COMPANY ~ <br /> <br />ELECTRICIAN <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />L3-,~j/;J <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />uJ"->--~ <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY A<:.. ~ <br /> <br />SIGNATURE <br /> <br />(.,A.J~~~ <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />