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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 />/ /3j5 <br /> <br />. <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME t3~ I1r/.:.- <br />JOB ADDRESS I..~...,- :35 2... 7f <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />It <br /> <br />/1 (fu.~~J;"_ <br /> <br />PARCEL ID # <br /> <br />OJ p4 cr <br />SUBDIVISION KA-7~""lf'r.J r'o ;"J/ <br /> <br />BLOCK <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br />Os I GN <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTIr.E) <br /> <br />o ADDITION <br />o MOVE <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />OMULT I - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />OSWIMMING POOL <br /> <br />El MOBILE HOME <br />(] OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />:~~/< /Uc> ..JJ....i <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 />o BUILDING <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />b 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 0 NO <br /> <br />c <br /> <br />SIGNATURE <br /> <br />(.,Jcr-~ <br /> <br />CONTRACTORSECTIO~ <br />COMPANY 8~h <br />STATE CERT OR REGIST # <br /> <br />BUILDER <br /> <br />******************************************* ********************** <br />., "''''-1 <br /> <br />ELECTRICIAN _~ COMPANY (., kL-11. CL,[C <br />SIGNATURE {pJ O;--~\Y'" STATE CERT OR REGIST # <e../2. CiJ I <-ClIO <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />UJ~~ <br /> <br />COMPANY ~ <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />*******************************************~******************* <br /> <br />COMPANY 1 J_1 \ , 1.,-\ <br /> <br />( ,J ~.;(~ STATE CERT OR REGIST # C J.-\(:D L/ 39(/ f. <br /> <br /> <br />***************************************************************** <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />