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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 RECE lVED <br /> <br />OWNER'S NAME ~ 5 ;+e- 1X,v ..j- Qui eMe- J1J ( PHONE /t 1"3) fj b b _ &301 <br />JOB ADDRE88 , 8i3b 2.0. SOlt)h ~ - J <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # J.!f-~h-1J-OO/O- OO/POO-OI51 <br /> <br />SUBDIVISION <br />(OBTAIN FRO~ PROPERTY TAX NOTI~F.) _ <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />[] ADDITION <br />[J MOVE <br /> <br />[]ALTERATION <br />[] DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~~e, tN:t Ale 1ilU:.f <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />o BUILDING <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />[] PLUMBING <br />~ECHANICAL <br /> <br />$ <br /> <br />3(Poo. 00 <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />[ <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION J <br /> <br />COMPANY_ <br /> <br />SIGNATURE <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 />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />******************************************* <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />*********************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />