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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 eTH St, Zephyrhills, FL 33542 :z#L.. <br />813-780-0020 FAX: 813-780-0021 7 0 '-- <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />,J)~4/ #,( C, ~/IIt9 4' '" ~ <br />J7 '1jtJ /6-n..t3c,fJ, "i~c:) <br /> <br />JOB ADDRESS <br /> <br /> <br />PHONE <br /> <br />7c?oi -d1c1/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION cJ6t;JaG'WIJt!J b ~~ <br /> <br />BLOCK <br /> <br />PARCEL ID # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />[JCOMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />[J ADDITION <br />[J MOVE <br /> <br />[JALTERATION <br /> <br />[] REPAIR <br /> <br />\'s" INSTALL <br /> <br />[J DEMOLISH <br /> <br />[JMULTI - FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SW IMMING POOL <br /> <br />[] MOBILE HOME <br />[J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~f;ftL. 7115~/t'o~ P4AY6 V/AI.?70aJS <br /> <br />Zv) <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 />0' BUILDING <br />[J ELECTRICAL <br /> <br />$ /.t.57~ ()CJ <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br /> <br />FrS. '" <:> D <br /> <br />(pu. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[] PLUMBING <br />b MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />aJ FRAME <br /> <br />[J STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES 1l NO <br /> <br />CONTRACTOa ....... SECTION <br /> <br />SOlIDER d ~ <br />SIGNATURE)! ./. ~R~ <br /> <br />COMPANY <br /> <br />{Jt.JYLt.-j/ <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 />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 />