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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 IVED <br /> <br />ID/J3/'b4 <br /> <br />PHONE CONTACT FOR PERMITTING 78"J..j. V <7 J (j <br /> <br />OWNER'S NAME ~~~\ ~ 7 CN~" 1>~ <br />JOB ADDRESS 51111 / $+ j fro( L I- <br /> <br />PHONE 7J-7- q '3,7-, 507D <br /> <br />;:I:- /&-/7"/~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAx NOTICEl <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />[J SIGN <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />[JADDITION [JALTERATION [J REPAIR [J INSTALL <br />[J MOVE [J DEMOLISH ; <br /> , <br /> I <br />OMULTI-FAMILY 0# OF UNITS q MOBILE HOME <br /> i <br />o INDUSTRIAL o SWIMMING POOL 01 OTHER <br /> <br />BUILDING SIZE <br /> <br />c=J RE3TAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />d;?- ')11. a -.J),~?f' /U - /t 01 <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />I <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENER~Y 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 /> 'I 3Do. {)d <br />[J BUILDING, $ VALUATION OF TOTAL CONSTRUCTION <br />[J ELECTRICAL AMP SERVICE [J Progress Energy [J W.R.E. <br />[J PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br /> <br />BUILDER <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 />I , <br />'******************************************************************1 <br />I <br />I <br />I <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />i <br />I <br />******************************************************************1 <br /> <br />, <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />******************.********************************************** I <br /> <br />.'!. .. <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />