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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 RECEIVED <br /> <br />/ohllt?) <br /> <br />, <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER'S NAME G (a h d nc026 () <br />JOB ADDRESS ''3 7~25 /I/U/t.J-Dm Ave W T 2 Y ~ <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ONEW CONSTRUCTION <br />DSIGN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />~NSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL 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 />o RESTAURANT <br />DESCRIPTION OF WORK jVJob, I J..... H VIM.t. . <br />BUILDING SIZE 2- 1 x: L/ 7 <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />S<'; - Gt. P <br /> <br />, <br /> <br />SQUARE FOOTAGE <br /> <br />(2&1 <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 />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <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 AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />tu:.--ro." ~~~~ STATE CERT OR REGIST # <br />****************************************************************** <br />COMPANY,,)J.( ~ <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE 4/')4:1 0' ~~~4...c=' <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br />SIGNATURE w~ /3~ <br /> <br />COMPANY!5U. tr( //ffc/ <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />* * * * * * * * * * * ** * * * * ** * * * * * * * * ** * **** * ** * * * * * A ** ** * ** * ** *. * * **** * **.* <br />COMPANY ( ~ <br /> <br />SIGNATURE <br /> <br />c:;-/. v-- /-l, ~~ <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />