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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 />/P;J5 <br /> <br />PHONE CONTACT FOR <br /> <br />PE~OO PERMIT SERVICE <br />1-866-824-7894 <br />Toll Free <br /> <br />OWNER'S NAME Je/LlLl k r h (! k <br /> <br />JOB ADDRESS (p f of tJ~j(' cUfl WtLLf <br />v <br />LEGAL DESCRIPTION: LOT(S) /3 <br /> <br />PHONE <br /> <br />SUBDIVISION r2Li: Cu.rf c!'J/ ;::;4- ~ <br /> <br />BLOCK <br /> <br />PARCEL ID # <br />WORK PROPSED: ~NEW CONSTRUCTION <br />Os I GN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />[]# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH <br /> <br />DESCRIPTION OF WORK <br /> <br />c5CuLIt <br /> <br />roo/Y) <br /> <br />(}II <br /> <br />DEPARTMENT APPROVAL <br />~ Y/J//iJ~ d~h <br /> <br />v <br /> <br />r:2/IPI <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />/fL'IIP <br /> <br />SQUARE FOOTAGE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERC IAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY1jRMS, <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED E'OR ALL NEW CONSTRUCTION, <br />,r-<...) <br />DL. ~ <br /> <br />PERMITS REQUESTED <br /> <br />()cpG ... <br /> <br />~ BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />LJ I !Jr~ & 00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />[] W.-R,E,C, <br /> <br />[] PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF HECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />o ROOlnNG <br /> <br />[] SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />o FRAHE <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREA 0 YES [] NO <br /> <br /> <br />""'.:I~~~.,~ <br />COMPANY So/) S/a/p 4km r- I/d2 <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />c:sriCt C-- ~ I[ <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 />MECHANICAL <br /> <br />****************************************************************** <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 />