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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 />UVf\tr-1 <br /> <br />B~ ({-e-t <br /> <br />DATE RECEIVED 11- j~- ,)i( <br />PHONE CONTACT FOR PERMITTING <=t'-l \ ~ '1') - ~1 ~~ <br /> <br />OWNER'S NAME <br /> <br />\ ',. \ I' <br />11'\ \- \ <br />, <br /> <br />1-" .~, '.' hd r:, \ \jJ..\ ..'~, i ,I <br />(;P\ lL, ~l...v~ <br /> <br />H I ~ <br /> <br />PHONE <br /> <br />I I '. <br />i.' J ;.' <br /> <br />. I ' <br />(; ,'0"1 --' '::.~ ~'_ <br />_ J ~y c.... ,-... _,..oJ <br /> <br />JOB ADDRESS <br /> <br />( \,\ ~ '(\ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: (JNEW CONSTRUCTION <br />'iil SIGN <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />(JCOMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br />(JMOVE <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />(J INSTALL <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />(J INDUSTRIAL <br /> <br />0# OF UNITS <br />(J SWIMMING POOL <br /> <br />[] MOBILE HOME <br />(J OTHER <br /> <br />,(j\ <br />\.!,;' <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />\ ~.) '2 \ hi \,. \ (;,r <br /> <br />-'," <br /><>, 1..1 ;. " r \. .. L,i II, 'f.-.; <br />,-" I <: \ J.. "l,h , " i I i <br /> <br />,",..', f\~. (, ,';f ~; <br />'v' 'i IJ"\," Iv <br /> <br />BUILDING SIZE <br /> <br />\ \\t) I <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 />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />& (1) SET ENERGY FORMS. <br /> <br /> <br />FO~ ~u. ~ ~fVt-\- <br />fldAl~ J <br />, tr . "7/ l7 l.:J'f <br />m~ <br /> <br />o W.R.E.C. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />';}..l:n <br /> <br />"...~'C: <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />(J GAS <br /> <br />(J ROOFING <br /> <br />[] SPECIALTY <br /> <br />~~ ~~ /JU)6. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION ~.~ \.::;c ~thC <br />o OTHER <br /> <br />(J PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: (] BLOCK <br /> <br />(] FRAME <br /> <br />(] STEEL <br /> <br />(] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA(] YES 0 NO <br /> <br />CONTRACTOR < SECTION <br />".' '. '. .":, ,,' -, . .. '. <br /> <br />BUILDER <br /> <br />.zeA:J ~:,',~/jr/ <br /> <br />/"' (". ,.{. f\ i,' r ,,' f.; <br />COMPANY 1,.)( ". J\' . . <br /> <br />(~: <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # L:~} JJ.(-\.~ I'J,J .~ <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 />