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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 />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S ~ <br /> <br />JOB ADDRESS 1 S <br /> <br />~a <br />",~l~ <br /> <br />PHONE <br /> <br />'r;8'O-rYJy / <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # O?:y~(pr(}-I_ OIJ-O/ OOVVO"'OV,/- D <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br />(J SIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />(J COMMERCIAL <br /> <br />(OBTAIN FROM PROPF.RTY TAX NOTICE) <br /> <br />(J ADDITION (JALTERATION (J REPAIR <br />o MOVE 0 DEMOLISH ?...e -.... 006 <br />(JMULTI-FAMILY (J# OF UNITS <br /> <br />(J INSTALL <br /> <br />(J INDUSTRIAL <br /> <br />(J SWIMMING POOL <br /> <br />(J MOBILE HOME <br />(JOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMEiT APPROVAL <br />c21'7' J1 j;.l -SJv;.f1 AA . A 0 ~ y <br />SQUARE FOOTAGE <br /> <br />BUILDING SIZE <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 />(J BUILDING <br />(J ELECTRICAL <br /> <br />$ <br /> <br />00 <br />(/' I /4/ <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />(J FLORIDA POWER <br /> <br />(J W.R.E.C. <br /> <br />(J PLUMBING <br />(J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />(JGAS <br /> <br />(J ROOFING <br /> <br />(J SPECIALTY <br /> <br />(J OTHER <br /> <br />TYPE OF CONSTRUCTION: (J BLOCK <br /> <br />(J FRAME <br /> <br />(J STEEL <br /> <br />(J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREA(J YES (J NO <br /> <br />BUILDER <br /> <br /> <br />C()~QTO~S:&:CTION <br /> <br /> <br />Ji <br /># CC-ctJ~/~1 <br /> <br />COMPANY <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 />** ***.* * * * ~*** ****** ** * * ** * * * ** * *** * ** * ***.Jr *'Ii.:li':*'**:;\;~~.~:t\"-~~'*'W-~-*H,**."t. ...a:... _,4 <br />' " , ','" "0'" ....~'u."''r''1 /, , """, ~ <br /> <br />." COMPANY. ' <br /> <br />OTHER ]:,. <br />SIGNATURE <br /> <br />" <br />::.~'~~;;tt-' "?fV""-:~,,,,~,'."af{~"">t <br /> <br />7~ <br />t <br /> <br />-~;_. '-"-\' ,,-. t' <br /> <br />, <br />STATECER'lI''''0Rdt$G~S'f. ,4t, <br />