<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUI:LDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
<br />I 813-780-0020 FAX: 813-780-0021 f - ")~IJS-
<br />, DATE RECEIVED!.!.. 'Y-__
<br />i
<br />
<br />PHONE CONTACT FOR PERMITTING
<br />
<br />OWNER'S NAME ~o~: W~tf~
<br />JOB ADDRESS 3 ?gl /~~. ~
<br />
<br />PHONE ~13 -~O.J-- as.? 7
<br />
<br />LEGAL DESCRIPTION: LOT(S) BLOCK
<br />PARCEL ID # /0 - ') b- ~ / - 0600- 00000 -00/0
<br />
<br />SUBDIVISION
<br />
<br />(OBTAIN FROM PROPERTY.TAX NOTICE)
<br />
<br />WORK PROPSED: DNEW CONSTRUCTION
<br />
<br />o ADDITION
<br />
<br />o ALTERATION
<br />
<br />o REPAIR
<br />
<br />o INSTALL
<br />
<br />DSIGN
<br />PROPOSED USE: DSGL FAMILY DWELLING
<br />o COMMERCIAL
<br />
<br />o MOVE
<br />
<br />o DEMOLISH
<br />
<br />DMULTI-FAMILY
<br />o INDUSTRIAL
<br />
<br />0# OF UNITS
<br />o SWIMMING POOL
<br />
<br />o MOBILE HOME
<br />o OTHER
<br />
<br />DESCRIPTION OF WORK N Q.A ,:)
<br />BUILDING SIZE /0.t!Jcm >; fA-
<br />
<br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
<br />
<br />~~
<br />
<br />SQUARE FOOTAGE
<br />
<br />HEIGHT
<br />
<br />o ELECTRICAL
<br />o PLUMBING
<br />o MECHANICAL $
<br />o GAS ~OFING 0 SPECIALTY
<br />
<br />AMP SERVICE
<br />
<br />o Progress Energy 0
<br />
<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 />$
<br />
<br />;; ~/JCJ .
<br />
<br />PERMITS REQUESTED
<br />o ~'-
<br />
<br />~, BUILDING
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />VALUATION OF MECHANCIAL INSTALLATION
<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 AREAD YES 0 NO
<br />
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<br />
<br />BUILDER
<br />
<br />COMPANY
<br />
<br />SIGNATURE
<br />
<br />STATE CERT OR REGIST #
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<br />******************************************************************
<br />
<br />ELECTRICIAN
<br />
<br />COMPANY
<br />
<br />SIGNATURE
<br />
<br />STATE CERT OR REGIST #
<br />
<br />******************************************************************
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<br />PLUMBER
<br />
<br />COMPANY
<br />
<br />SIGNATURE
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<br />STATE CERT OR REGIST #
<br />
<br />******************************************************************
<br />
<br />MECHANICAL
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<br />COMPANY
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<br />//"
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<br />
<br />SIGNATURE
<br />
<br />STATE CERT OR REGIST #
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