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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION . <br /> <br />BUILDING DEPARTMENT 5335 8TH st, Zaphyrhills, FL 33542 ~.". . ..... <br />813-780-0020 FAX: 813-780-0021 . . or <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER' S NAME Be 1- AJ (e~ \I t:~Z- (Y\ j>Yi:[ c-~ <br />JOB ADDRESs2 q 2 ') 'i C OJ h ( /1 <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PHONE <br /> <br />L ()(lD <br />I <br />BLOCK <br /> <br />Lo t /7 I <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ONEW CONSTRUCTION <br />OSIGN <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />o ADDITION <br />o MOVE: <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~BILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />14 X 3tt; <br /> <br />c:J RESlfURANT~~PARTMENT APPROVAL <br /> <br />r~. dr <br /> <br />SQUARE FOOTAGE <br /> <br />DESCRIPTION OF WORK <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 /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <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 /> <br />BUILDER <br />SIGNATURE W ~ I~p~ <br /> <br />COMPANY 13L(1~~~ <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN <br />SIGNATURE WC!/, ~~?, <br /> <br />*********************************~******************************** <br /> <br /> <br />COMPANY C r Qndc / J <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY [j;1-fe.o'Jel d A1()h,1 t H (jj~ b <br /> <br />SIGNATURE tv,"/ !? A~?L/Z> <br /> <br />*******************************************~******************* <br />COMPANY. xhY' . <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />4~7-- e~~.:~ <br /> <br /> <br />***************************************************************** <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />