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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 />3;:~S <br /> <br />f <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />PHONE <br /> <br />JOB ADDRESS '''':::'V)\ .~J\~-5).- <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />\_~ ~;;{)C) <br /> <br />~~~~~ ~~~-\. <br /> <br />, <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br />o ALTERATION 0 REPAIR ~TALL <br /> <br />PARCEL ID # <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <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 />-Sh~~ ~,~~'- <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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />~UMBING <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o 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 />1~'~~""''';~~7~--:~-'-7- ~~~'-~~-~-~J:~~~--+~+~-~ .- v<-~l -- - - ~ - - .- -~.: -~'l'~--"' ~'-~-~-\I~~~"" ~:~1~-~" ~ff~~~i3;'~i+~U;:~~t <br />~\!.-.lr:"Jlft/"~'!'l'l;#h.~l;t '~"I i~, ~ '" " If ~ ' ,j t f: 'I "" j' ~) ~14 ~< "i'" r,,~~";it}~J~"ff+Vt~'tf~f' <br />llL,'"""',.:__.2.u...,.....;:....':'''''~.......;;:...;'illt~~...__1.~.....~~......._~_~~.._~~''''.;:~."''^''...4,.:~A...,_~_-J._~__._ __~__. _ ___ _ _ ._ ~ .... ......_""'-...c__ ........l~~....___~_r~+...~~...J:.....:.~~...l..~ <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 /> <br />COMPANY.s;::.~ ~;:\.~ '-_\)(\~~~~s~\h,~,t--<:l <br />-) <br />STATE CERT OR REGIST # ~~_\lJ~~~<::::"):t <br /> <br />SIGNATURE <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 />