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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, :In 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />OWNER' S NAM~ (')~__~\ 0c..1t 0...... <br />JOB ADORE ss 4 (, L.{ <; r VV\. v( <t-. <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PHONE ~11\ 11t::..-t)').QO <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[JCOMMERCIAL <br /> <br />BLOCK <br /> <br />SUBDIVISION <br />(OETA IN FRO: PROPERTY TAX N"OT Ir:F.l <br /> <br />[J ADDITION <br />[J MOVE <br /> <br />~TERATION <br /> <br />[] REPAIR <br /> <br />[J INSTALL <br /> <br />[J DEMOLISH <br /> <br />[JMULT I - FAMIL Y <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[] OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />VI' ~-~)< S~"V,~ ~ ~ ~ ~1(<....1 M61.,,1, N 0_' <br /> <br />DESCRIPTION OF WORK <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 FOPMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />SQUARE .FOOTAGE <br /> <br />HEIGHT <br /> <br />[J BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTE~ <br /> <br />[J ELECTRICAL <br /> <br />ISo <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />rg- FLORIDA POWER <br /> <br />[J W.R.E.c. <br /> <br />[] PLUMBING <br />tJ MECHANICAL <br /> <br />$ <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[] SPECIALTY <br /> <br />[J OTHER <br /> <br />VALUATION OF MECHAlJCIAL INSTALLATION <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN nOOD ZONE AREA[J YES [] NO <br /> <br />c <br /> <br />CONTRACTOR SECT!ON J <br /> <br />COMPANY <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />ELECTRICIAN <br />SIGNATURE~~~~o <br /> <br />****************************************************************** <br /> <br />STATE CERT OR REGIST # <br /> <br />COMPANY-.1C e Q. ~ t. ,,::-p(p c..l'I,I,.{ .,..L, 't-rA(. <br />144 e, <br /> <br />PLUMBER <br /> <br />**********************************************************~******* <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />COMPANY <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />COMPANY <br /> <br />***************************************************************** <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />- STATE CERT OR REGIST #__ <br />