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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 />/fJ-27-0Y' <br /> <br />PHONE CONTACT FOR <br /> <br />tIIIISCOlfERMIT SERVICE <br />1-866-824-7894 <br />Toll Free <br /> <br />PHONE <br /> <br />"7 o.-me..r U.elJ./I'J fi.-/) <br /> <br />03'1/(, /Jlirlk, CrilL <br />,/ <br />LEGAL DESCRIPTION: LOT (S) I'J 9 BLOCK <br /> <br />PARCEL ID # tJ-l{-tJ.(P-,J./- oos-iJ -00000- /790 <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION c/JuruJd. f'Jo/j!e . <br />R..// /l4tJ()/l <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />~ALTERATION <br />o DEMOLI SH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />PlLUM-la'~5 ~r ev PtJr-r Remode( <br /> <br />BUILDING SI ZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF' SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (l?JET ENERGY <br />FORM <br />"" /;.J--)"C <br />/ ') I <br /> <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />j1(PLUMBING <br />o MECHANICAL $ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br /> " <br /> VALUATION OF MECHANCIAL <br />0 OTHER <br />0 FRAME 0 STEEL <br /> IS PROJECT IN FLOOD ZONE AREA 0 YES o NO <br /> <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br /> <br />COMPANY <br /> <br /> <br />SIGNATURE <br /> <br />STATE C <br /> <br />**************************************************** <br /> <br />ME CHAN I <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 />