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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhi11s, FL 33542 ~&- <br />813-780-0020 FAX: 813-780-0021 '2 tJY <br />DA'fE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME G-.l2.I1-/fI J <br />JOB ADDRESS L6'T 1<['7 <br /> <br />I/u ~ J '1.(' ,~ <br />37 S'<J <;{ NeLl. ~ Ave. <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL In # <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />[] SIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />[]COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTIC.El <br /> <br />o ADDITION <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />CI REPAIR <br /> <br />[] INSTALL <br /> <br />[] MOVE <br /> <br />[]MULT I - FAMI L Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />[] SWIMMING POOL <br /> <br />~BILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />)n,tf <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 />[] BUILDING <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />[] PLUMBING <br />tJ 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: [] BLOCK <br /> <br />o FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [] NO <br /> <br />BUILDER <br />SIGNATURE UJ~ /?~ <br /> <br />CONTRAC!I'OR SECTION <br />COMPANY r2.~ <br /> <br />STATE CERT OR REGIST # <br /> <br />*****************~************************************************ <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />UJ(~ /J~1J <br /> <br />COMPANY )1 <:: " <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />L-Jc~/ ~ BJPfM <br /> <br />COMPANY (? 4...~ <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />UJ~ a~ <br /> <br />COMPANY <br /> <br />J1~ "'"'- <br /> <br />STATE CERT OR REGIST # . <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />