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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 x-<J:3 (J <br />DATE RECEIVED 0 / <br /> <br />PHONE CONTACT FOR <br /> <br />~~~ <br />J'lQ3<(-_ 1~ <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL In * i - 2.(, - L( -0 O~ -lOQ 700 -q,fa:k'tfN '80M PBO~'BTY TAX N(>TIC~I <br /> <br />PERMITTING <br /> <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />PHONE <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION o REPAIR o INSTALL <br /> OS IGN o MOVE 0 DEMOLISH <br />PROPOSED USE: 0 SGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOB ILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SW IMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br /> <br />~ FOOTAGE <br /> <br />BUILDING SIZE <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 />HEIGHT <br /> <br />o BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />I{/? :JvP~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />1Ct <br />:))~ I <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />b MECHANICAL <br /> <br />$ <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 />BUILDER <br /> <br /> <br />CONTRACTOR'."SECTION <br /> <br />COMPANY <br /> <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 />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 />