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<br />I I <br /> <br />CITY O~ ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542~. . <br />813-780-0020 FAX: 813-780-0021 Q d /l ()) <br />DATE RECE IWD /) ] <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br /> <br />FLDs11 J: <br /> <br /> <br />JOB ADDRESS <br /> <br />I <br />LEGAL DESCRIPTION: LOT(S)~ BLOCK SUBDIVISION <br />PARCEL ID # 11-J.f::,-JI-()Olf-ICj600- O/(}() (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: ONEW CONSTRUC1ION 0 ADDITION oALTERATION 0 REPAIR 0 INSTALL <br />oSIGN ! 0 MOVE ~EMOLISH <br />PROPOSED USE:~GL FAMILY DWbLLING oMULTI-FAMILY 0# OF UNITS 0 MOBILE HOME <br />o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL 0 OTHER <br /> <br />BUILDING SIZE <br /> <br /> <br />c:J R1~TAURAN~ ,& HEALTH DEPARTMENT APPROVAL <br />O~ ~() 'Y\ )N un crt y P-ofrf\ <br />I <br />! <br /> <br />6L(~ <br /> <br />HEIGHT ~ <br /> <br />SQUARE FOOTAGE <br /> <br />t2l1 U~VL~) <br />o BUILDING <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />OF ENGINEERED PLANS REQUIRED. <br />REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />t) ~6GT {~N of ~. (::)NL>{ B'0 ~LUtN1!-fWi) h'-UL wq./L fE-'Wt-/i) T) <br /> <br />.4:"1L 1 ,- .. .~ I . PERMITS REQUESTED <br />1'--" f~().jPl1l;lrJ crJ-h~<;tz:- l.~o N~T ~~~ ~ '-- <br />$ VALUATION OF ~OTAL CONSTRUCTION ~ . <br /> <br />RESIDENTIAL: ATTACH (2) PLOT <br />COMMERCIAL: ATTACH (3) SETS <br />IF SIGN PERMIT ONLY (2) SET <br />PROPERTY SURVEY <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 /> <br />I <br />I <br />I <br />I <br />o ROOFING 0 SPECIALTt <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK I <br />I <br />FINISHED FLOOR ELEVATIONS ~ <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o MECHANICAL <br /> <br />o GAS <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <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 />! <br />I <br />I STATE CERT OR REGIST # <br /> <br />****************************************************************** <br />I <br />i <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />**************** ************************************************ <br /> <br />OTHER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br />