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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 />Cf2tut V -11-ty <br /> <br />DATE RECEIVED <br /> <br />{: - (1- ('~ <br /> <br />t <br /> <br />OWNER'S NAME <br /> <br /> <br />ilL- P~L <br />rW67 I2tJ <br /> <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # 03 -d-b-;-/ -~OIO -'0760tJ -0010 <br /> <br />SUBDIVISIO <br /> <br />-~~-~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />[] ADDITION <br /> <br />[]ALTERATION <br /> <br /> <br />[] OTHER <br /> <br />[]SIGN 0 MOVE <br />PROPOSED USE: []SGL FAMILY DWELLING []MULTI-FAMILY <br />o COMMERCIAL 0 INDUSTRIAL J:[]SWIMMING POOL <br />c:J RESTAURANT & HEALTH DEPART T APPROVAL <br />DESCRIPTION OF WORK ~/TL W/?!<::. ' .P 'J 05. 0~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCT~. <br /> <br />UJI <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br /> <br />SET ENERGY <br /> <br />PERMITS REQUESTED <br /> <br />[] BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF <br /> <br />[] PLUMBING <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATI N <br /> <br />~jlq/- <br /> <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [] NO <br /> <br />SIGNATURE <br /> <br /> <br />CONTRACroRSECTION <br />~ <br /> <br />COMPANY <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # <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 />