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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 <br /> <br />~~~~~~:~~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PHONE ~/3-1/~-//.5/ <br />C-euJ/ Ii y I_J1 (' /1, ;' FIC( <br /> <br />SUBDIVISION <br /> <br />JOB ADDRESS <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[JSIGN <br /> <br />[JMOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: 0 SGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[JOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />J<Q~~ <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 />[J BUILDING <br /> <br />$ <br /> <br />0/ ()J OY <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J Progress Energy [] <br /> <br />W.R.E.C. <br /> <br />[J PLUMBING <br />o 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 D NO <br /> <br />!N''''':';'';"'~~I:;:r'':;''J'0:7T''''~''''''''-';=';T7''''' ~'~,""'""---r--"'''-''''~'';>",,'''' -,- -" _.__~n__~____ - ~ --- ---~~-~-~-~-~"'r:~~TI;;,r~~r-=~~'P?'~J!fjrr~~~ t. <br />1~~Jl1t1>~;~~Jr~1~!~"Jl~~'j Nt l, ~ ~ '~~ ,h " ,,~ Jr~ ~;~ ,.jt,,;: 1 ~ ~ >>11~~i"J;,t}l~~1~';'\/f:i?~fi,,'!1f:(,:~'-?"'t~~~fb$FV~t\Thj1t)ri~$lW~~~~II~ <br />~_~~~h~=::~2...':':..__~_~'~_ .:~j~ ~':"l___~__,..':'..< ~ _______ _ _ _ ___ _~__~__ ___ ~ ___ _~.;;.~Wfi:lI~~~~~L<&~~t t~~!1:L:~~iL:2f*~~'YW ,~~~"J' <br /> <br />SIGNATURE <br /> <br /> <br />BUILDER <br /> <br />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 />*******************************************************~,********** <br /> <br />MECHANICAL <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 />