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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 />PHONE CONTACT FOR <br /> <br />DATE RECE IVED cu- 0 ~ <br />PERMITTING ~ ~r:; <br />tJ~------ <br /> <br />OWNER'S NAME <br /> <br />U--tt.,,/VJ <br /> <br />fJ. o.~ /;r..,v <br />N<'^r<CJ~ I1v,- <br /> <br />PHONE <br /> <br />JOB ADDRESS 375/2 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />,... <br /> <br />PARCEL ID # <br />WORK PROPSED: ONEW CONSTRUCTION <br />Os I GN <br /> <br />SUBDIVISION &-nlfllUJ ff(jJ'l./<..<JA <br /> <br />BLOCK <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o St'HMMING POOL <br /> <br />9-M'OOILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAlJ <br />JYJ,ff <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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />o W:R'E'~~/ ) <br /> <br /> <br />INSTALLATI~ <br /> <br />o PLUMBING <br />b MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL <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 />c <br /> <br />CONTRACTOR ...SECTION <br />COMPANY ~ u.. rFc."'-h ;7cJ <br /> <br />BUILDER <br /> <br />SIGNATURE GJ~ rJ~~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />,(,.J~ -4~ <br /> <br />COMPANY <br /> <br />I1c~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />...1-U~ l3.~p <br /> <br />COMPANY tJ L. ~~h~1 j <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />r}c-e. <br /> <br />SIGNATURE <br /> <br />tA.}0y- S~ <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************************,~******** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />