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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FI. 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE lVED <br /> <br />7) ACf <br /> <br />, <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME 111 { ~ ~ : ''\~AQ bl i (l LlI < J;",,,- K I ;'''''''41'/ _PHONE lrt.1 -'to? 7U'U: <br />JOB ADORE SS '3 ~ C; It> .1 'J. A \J e. Z. < (' t.. y.r C 1I { f(:?:5 ':J If d.... <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ONEW CONSTRUCTION <br />Os I GN <br />PROPOSED USE: OSGL F:AMILY DWELLING <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROP~RTY TAX NOTI~E) <br /> <br />o ADDITION <br />o MOVE <br /> <br />OALTERATION <br />~MOLISH <br /> <br />[) REPAIR <br /> <br />o INSTALL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />0'(: /l/t b ~ ~ ( l,~ AJ <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 CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />'0 <br />7~\ <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PI,UMBING <br />tJ MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLJ~TION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PRO,JECT IN FLOOD ZONE AREAD YES D NO <br /> <br />********************************************************,,********* <br /> <br />CONTRACTOR.SECTION <br />COMPANY fCfu / OCt V/!;. <br />STATE CERT OR REGIST # C Be 05 /.:L 6,6 <br /> <br />I <br />/J, 'P <;. 10 r q -J o'/(, <br /> <br />BUILDER ~ <br />SIGNATURE. ~ <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 />ME CHANlCAI. <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 />