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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION if 6'2,1" <br />BUILDING DEPARTMENT 5335 89 St, Zephyrhills, FL 33542 <br />813-7BO-0020 FAX:B13-780-0021 <br /> <br />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />(!.eeil me::to. 1/:&'1 P~ONE ~ta- IN-lsOl <br />JOB ADDRESS .5 Qt..ffp dOY. __ ~~.;;J 335~~ <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />OWNER'S NAME <br /> <br />PARCEL ID # /;<-Jh-;1/-0tJdLJ-{)f)fOt}-tJ/8/7 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />[] SIGN <br /> <br />[] ADDITION <br />[] MOVE <br /> <br />~TERATION <br /> <br />[] REPAIR <br /> <br />[] INSTALL <br /> <br />[] DEMOLISH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />[]MULT I - FAMILY <br />[] INDUSTRIAL <br /> <br />[]# OF UNITS <br />[] SWIMMING POOL <br /> <br />[] MOBILE HOME <br />[] OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />~/~ - Oa/- <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />{!;~-A1JI (},,~) 9c--~. <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 />[] BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />[] PLUMBING <br />9'1 MECHANICAL <br />[] GAS [] ROOFING <br /> <br />$ <br /> <br />.3000. ()O <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [] NO <br /> <br />P()~c:~:a}SI:CTIQ~ <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 />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** ,/ <br /> <br />MECHANICAL COMPANY (tR-ni)iJ~~K:S 11,~ <br />SIGNATUREff~ ~.Lt?T/ STATE CERT OR REGIST # I</lJPtJ IC}q!3 7 ~ 7; <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />