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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 11-/7- tiS' <br />J f DATE RECE IVED - <br />o u /JJn fV4Ab/ ,/ <br />PHONE CONTACT FOR PERMITTING 7017 - .) 0 If' 3/ 8 ~ <br /> <br />OWNER'S NAME <br /> <br />I/Aeb <br /> <br />3[) 5~ ~ <br /> <br /><5ih /~ /LI ~ /V ~ /L- <br />/3f!cJe- ~ <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[J SIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[JMOVE <br /> <br />[J DEMOLISH <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J # OF UNITS <br />o SWIMMING POOL <br /> <br />[J MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAU~ HEALTH DEPARTMENT APPROVAL <br />SuAJ ~OM <br /> <br />BUILDING SIZE <br /> <br />~;< ~ f <br /> <br />SQUARE FOOTAGE <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 />[J BUILDING <br /> <br />$ <br /> <br />1, too,:) tf <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />o Progress Energy [J <br /> <br />W.R.E.C. <br /> <br />[J PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF <br /> <br />MECHANCIAL INSTALLATION ~ ~ (1) <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />[J FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />******************************************************************AA~r;, <br />o I .'l~ <br />~ -<so. .~. <br />ELECTRICIAN ,'3. COMPANY I e. A Iu 0 2/ e. c IL I C ~ <br />SIGNATURE ~~ :;"4._-,,/--/ STATE CERT OR REGIST i b~ \:1=;).-5 ::ILl <br /> <br />*******************************************************'k********** <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 />