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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 />Xf^JJ <br />;>92-() f <br /> <br />I?+k)~> <br />~r/~ <br /> <br />PHONE <br /> <br />Pr <br /> <br />LEGAL DESCRIPTION: LOT (S) q BLOCK 6 SUBDIVISION ?-Y~71 fJ.e..)'j h-r 5> <br />PARCEL ID # /2- Z-b- "Z...l- 0050-00 bOO - 00/0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />JOB ADDRESS <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION ~EPAIR <br />D DEMOLISH <br /> <br />o INSTALL <br /> <br />D SIGN <br /> <br />DMOVE <br /> <br />PROPOSED USE~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & <br /> <br />r)e,f') eJ r <br /> <br />HEALTH DEPARTMENT APPROVAL <br /> <br />/-oil 5/Dpe <br />I <br />/ 7 t)CJ <br /> <br />o SWIMMING POOL J D OTHER <br />7 >9ua,e5 <br /> <br />fr1d f/eJ I5J1uIV1en <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 />0 BUILDING <br />0 ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br />0 GAS o ROOFING <br /> <br />$ <br /> <br />r;; z~ Df3 <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D 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 AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br /> <br /> <br />COMPANY <br /> <br />TATE CERT OR REGIST # CC c_ /3z-5g'/ct <br /> <br />************************* <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 />