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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 NAME <br /> <br />~j;;tL~ tJ~r~ <br />oq ~ ~~ <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL ID # S:2/- 00 <br /> <br />BLOCK <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />Os I GN <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br /> <br />SUBDIVISION <br /> <br />PROPERTY TAX NOTICEI <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />(JMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />(J# OF UNITS <br />o SW IMMING POOL <br /> <br />o MOBILE HOME <br />(J OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~ 0 II <br />DESCRIPTION OF WORK Ij)il4~ ~'r <br /> <br />BUILDING SIZE S/UARE 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 />o BUILDING <br /> <br />$ <br /> <br />;l.. ??~) 977 <br /> <br />, <br /> <br />PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br /> <br /> <br />?~ <br />~ff> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />(J PLUMBING <br />b MECHANICAL <br /> <br />$ <br /> <br />~:?:J-SO <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />CONTRAC!l'OR ..'..' SECTION' <br /> <br />'^"~ r \ CC.....1 ('c,.zt6l'~ 7....c... <br />STATE CERT OR REGIST #/?-"sl'f1tJ I" "/~ <br /> <br /> <br />****************************************************************** <br /> <br /> <br />ELECTRICIAN ~/l~ COMPANY Ii 1 '13 8kt. &; O~ <br />SIGNATURE / __l<~ STATE CE~T OR REGIST # [;COOOd.t.f03 <br /> <br />BUILDER C\ ~ <br /> <br />SIGNATURI~)(\r 1-... <br /> <br />COMPANY <br /> <br /> <br />\ 0 r \. 1-0 "'" <br /> <br /> <br />)( * * * c-1:J* *f.' :: : *;.* ~ * * *j *; * * * * * * * * * * * * * * * * * * * * * * * * ~ '* * e ~ ~~ 7j *~~ b n c <br />PLUMBER/\'~_ C-/lUU-\.~J COMPANYvf1f~IJ/~ <br />SIGNATURE ' , -' STATE CERT OR REGIST " ~~~;J <br />,- -~~~ ~ <br /> <br />* * ""'**.~*-* *'**'*) * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * '* * * * * * * * * * * * * * * * .\ * * * * <br />-'. ." // _____.. .~-O COMPANY ?O&J~;Z. / I (! tJ ~b;1..:s' A I!Z. S~,i I.N t~>vV' <br /> <br /> <br />SIGNATUR STATE CERT OR REGIST # ~ <br /> <br /> <br />. .. . .. .. .. . .. ... .. .. . .. . . . .. . .. ... . . .. . .. . .. .... .. .. .. . ~;';~.~ <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />