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<br />. <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICAT~U~ <br />BUILDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 ~ ,II ~ <br />DATE RECE IVED ,....L,. -/ ~ - (:J~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />_ OWNER'S NAME j)I0r1a-1 J CIf~/jnrV .PHONEf/'S, 7cf,;?- ()3'53 <br />'JOB ADDRESS ~/; ;, /3 l~~Z2::;~-P~V/PJ-!rLL5.-~ /~. 33S'Y:.;L. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID '* <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE\ <br /> <br />" <br />WORK PROPSED: (JNEW CONSTRUCTION <br />(J SIGN <br /> <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(J ADDITION <br /> <br />(JALTERATION <br /> <br />(J REPAIR <br /> <br />(J INSTALL <br /> <br />(JMOVE <br /> <br />(J DEMOLISH <br /> <br />OMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />O. 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 />1ft::- (c.no~ ' <br /> <br />BUILDING SIZE <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 />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />PERMITS REQUESTED <br /> <br />~UILDING <br />(J ELECTRICAL <br />(J PLUMBING <br />(J MECHANICAL <br /> <br />$ /f;;2{~.O~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <br /> <br />VALUATION OF <br /> <br />Progress Energy (J W .R::E. c. <br /> <br />. //. C6 7~ <br /> <br />MECHANCIAL INSTALLAtlY <br /> <br />\ <br />\ <br /> <br />AMP SERVICE 0 <br /> <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br /> <br />TYPE OF CONSTRUCTION: (J BLOCK <br /> <br />(J FRAME <br /> <br />o 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 />COMPANY <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 /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br />