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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 RECE IVED <br /> <br />OWNER'S NAME <br /> <br />r-- f! c t? ~/ /.J!'HONE <br />~hVl S tOoCt~,,,,vl)J~ <br />~,- ~9.~~h~~~~~'j <br />\. <br />01'~ ~~")~\\ \\~, '7 <br /> <br />CONTACT FOR PERMITTING <br /> <br />BLOCK <br /> <br />PHONE ~ \~ - '; I C-- -;<::J (j~ <br /> <br />~ ,,\- 'j~'" <br />SUBDIVISION <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br /> <br />(OBTAIN FROM PROPF.RTY TAX NOTICF,l <br /> <br />[]ADDITION <br />[] MOVE <br /> <br />[]ALTERATION <br />[] DEMOLISH <br /> <br />o REPAIR <br /> <br />IiJ-1'Ns TALL <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />0# OF UNITS <br />[]SWIMMING POOL <br /> <br />o MOBILE HOME <br />[J OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK -:s ~~\.~(~, (~~ <~, :<"-:>- ((";,,, ~. ~ ~ ncY <br />) <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />R~' <br /> <br />if c/€t- <br />3 (7 ;;l <br /> <br />o BUILDING <br />o ELECTRICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />Ifq:J#50 <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />~LUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />[J STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [] NO <br /> <br />CQNTRAQTO;a.......SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <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 />SIGNATURE <br /> <br /> <br />COMPANY'\) " \ ~\\, ~\ ~." <br />~~'\,~,\.~--, -S>\,~~,,;-, \",,\ ~) <br />STATE CERT OR REGIST # (:"'~,-\"-l~S<OC::\~ <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 />