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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~H 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 />.563,-/ <br /> <br />/'1/ _~~~__ <br />/:).. ~ 5f <br />BLOCK \~ SUBDIVISION <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />oSIGN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br /> <br />o ADDITION o ALTERATION 0 REPAIR 'bJ INSTALL <br /> <br /> <br />o MOVE 0 DEMOLISH <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o COMMERCIAL <br /> <br />oMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />PROPOSED USE: oSGL FAMILY DWELLING <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />';;0 X <br /> <br />SQUARE FOOTAGE <br /> <br />l' c.' {} <br /> <br />HEIGHT <br /> <br />~!...f{/~j <br />L, <br />/ slo,^'t- <br /> <br />DESCRIPTION OF WORK <br /> <br />~' *:c.- <br /> <br />~ ~, 01/' /h7~.;tN/ <br /> <br />/.7 t, b <br /> <br />13tpt-I<' <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 />o ELECTRICAL <br />o PLUMBING <br />o MECH~ICAL $ <br />o GAS \n ROOFING 0 SPECIALTY 0 <br />TYPE OF CONSTRUCTION: 0 BLOCK ~ <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />OTHER <br /> <br />FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <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 />****************************************************************** <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 />SIGNATURR,,\ ~/ ~. <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br />