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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 RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME 11 lA:~\'f_ '"'f!XAs L'l PHONE ~{31~~ ..{ 202. <br />JOB ADDRESS-2.:l6Dl LCWR.t:.-L J,..{A~ ']y~. ,-Z~L.(QJ.J.Lt ~ <br />LEGAL DESCRIPTION: LOT (S) If::} BLOCK SUBDIVISION 6AK' RuN ptlA:'S"C I <br />PARCEL ID # (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[]SIGN <br />PROPOSED USE: []SGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[J ADDITION <br />[] MOVE <br /> <br />[JALTERATION <br />[] DEMOLISH <br /> <br />[] REPAIR <br /> <br />!Zt INSTALL <br /> <br />[JMULT I - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />[] MOBILE HOME <br />[JOTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />\,( )()t)t:> ~ O.~" <br />oN 5- I <br /> <br />(p' <br /> <br />DESCRIPTION OF WORK <br /> <br />I ~r->oALU f\J1 .c~t..JCf- <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 />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />[J <br /> <br />W.R.E,C'.J ,~yg <br />'~ ~, <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />BUILDER /7 I!i. <br />SIGNATURE I ("f/l~-~t <br /> <br />CO~QTQ;RiS2CTION <br />COMPANY ~"I9J?J/) <br /> <br />Fef7~ <br />. <br /> <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 />