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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 813-788-6611 FAX: 813-788-1516 ,p..-~~_ 0 I <br />DATE RECEIVED _ _ _ <br />PLANS RBVIB1f !'BE <br /> <br />DSIGN <br /> <br /> (OH'T'~TN FROM PROPF.R'T'Y 'T'~X NO'T'T(~F.) <br />o ADDITION DALTERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />DMULTI-FAMILY D4t OF UNITS o MOBILE HOME <br />o INDUSTRIAL o SWIMMING POOr. o OTHER <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~OMMERCIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />!bur 8 X e/ re-I n-/Jr-ced Cof\ueJe ::sJah <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />if BUILDING <br /> <br />$ <br /> <br />;1 EJv <br />Ot)'- <br /> <br />PERMITS REQUESTED <br /> <br />,lp:J .~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 /> <br />SIGNATURE <br /> <br /> <br />:'''fi~lgM <br /> <br />COMPANY IJGlIJ1=='laIJ Co1JS~( ;/;oAJ <br />STATE CERT OR REGIST # RB -oo/~ <br />CITY PROCESSING it ~ (.;2. f'9. ~IJ,'~ <br /> <br />BUILDER <br /> <br />********************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**********************************************************~******* <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**********************************************************~****** <br />