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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 />12-4> to" <br />I <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />, Je n/ll'~ <br /> <br />........" <br /> <br />!5 1:3 J I 71 J) <br /> <br />,~, <br />l <br /> <br />l ~', I /'1 ~"L'J It-- <br /> <br />PHONE ~'13 - '/ J ?' :2r.IL/ :;:L. <br /> <br />JOB ADDRESS <br /> <br />S t-, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />\( <br /> <br />'-, <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />DSIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION DALTERATION o REPAIR ~INSTALL <br />o MOVE 0 DEMOLISH <br />DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~~ ;fCk:)~ <br /> <br />BUILDING SIZE SQUARE FOOTAGE /6 <;1 <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />HEIGHT <br /> <br />) .5 ..J- cJ "..-J/! <br />FORMS! <br /> <br />& (1) SET ENERGY <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />~BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />9,,!{O{") O(J <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL $ <br />o GAS '-ROOFING 0 SP~CIALTY <br />TYPE OF CONSTRUC1:roN A BLOCK <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <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 ~,NO <br /> <br /> <br />SIGNATURE <br /> <br /> <br />...I ! <br />.ulli <br /> <br />COMPANY <br /> <br />BUILDER <br /> <br />f,,/._- <br /> <br />STATE CERT OR REGIST # <br /> <br />Ii <br />****~************************************************************* <br /> <br />l,/ <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 />