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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION' <br />BUILDING DEPARTMENT 5335 SR St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />1 OWNER'S NAM~ PHONE 13Z -C1/,,47 <br />JOB ADDRESS :;,i q L\ Y;' n :1 ~"r h 1\\ j I t I '0 5 '1 )- <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[J ADDITION <br />[J MOVE <br /> <br />[JALTERATION <br />[J DEMOLISH <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />D# OF UNITS <br />[J SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />.x <br />/- <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />-r; ';'I S...tE"P 6vii..:C_p f\J WD () 0 FLc.::.C!2... U eDN c..e-t"f\8\.j T B ~ <; <br />DESCRIPTION OF WORE) Ul.rn-t CD.~~iDE/l..AThN F't>/t. iuf $"ETBAc.K A~l> '1~"AAJO+~1L <br /> <br />BUILDING SIZE 10 ,)( 13 SQUARE FOOTAGE ,;>U HEIGHT <br /> <br />t <br /> <br />. <br />nuL.. t...~ T <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />D BUILDING <br />[J ELECTRICAL <br /> <br />PERMITS REQUESTED <br />44 7, 00 VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />[] PLUMBING <br />[] MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />[J STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES [] NO <br /> <br />SIGNATURE <br /> <br /> <br />cO~qTO;R..($ECTION <br />COMPANY~ <br /> <br />BUILDER <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 />****************************************************************** <br /> <br />MECHANICAL <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 />