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<br />~ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION fiL~ f>>A ' <br />BUILDING DEPART.MENT 813-788-6611 FAX:813-788-1516 ~~- IJ;~~OI <br />DATE RECEIVE~ <br />PLANS REVIBlf FEE - <br /> <br /> <br />11 <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />PARCEL In 4+ <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />~IGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE:OSGL ~ILY DWELLING <br />"=OMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />CJ RESTAURANT <br /> <br />DESCRIPTION OF WORK .tnsiZlRL- <br />.., ^I ~ ~, <br />BUILDING SIZE ~ ~ ~ <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />01~j1J UJO-U Sl~ <br /> <br />SQUARE FOOTAGE ---1.DOO.M. HEIGHT <br /> <br />LtJ' <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 />)l8UILDING <br />o ELECTRICAL <br />o PLUM8ING <br />o MECHANICAL <br /> <br />$~ce, <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />1\MP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHP.NCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />'TYPE OF CONSTRUCTION: 0 BLOCK .Jl' FRAME <br />FINISHED FLOOR ELEvATIONS --1- <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />)ttNO <br /> <br />:<':~::.\,::,<:::::':~ ;':~));:;n:\/ ,.,.( ~ <br /> <br />'" ( <br />:""::":. :.'.::..;~:':'!' <br /> <br />.. . <br />....~~~..~.;: :;~.~ '.',~:~~/,,~.:~: <br /> <br />~"~- ~,~ -...... - ,. "'~ .~.. .-.~_.....~ <br />. . - <br />.. ". . <br />-"~-'-~-'- -- .- ..... ,.. - '--- <br /> <br />~!::f~N;:,:*~;;il.:;:">~;.~/.j/;: ;;~~?;:~;}c)i.> ::;~: . \:':'.~ '.':: ":; ':;.., <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST * <br />CITY PRDCESSING # <br /> <br />......********.**.**.*****.*...*******************.*******.**.**** <br /> <br />ELECTRICIAN <br /> <br />COMPANY: <br />STATE CERT OR REGIST H <br />CITY PROCESSING * <br /> <br />SIGNATURE <br /> <br />**************************************************************..*** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**********************************************************..******* <br /> <br />NECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />* ** *. *** ********.. ...i* * * * ** *........ * * ** ** ** *****.. ** *..... * * ** ** ** .-Ie**. *<< <br /> <br />onER SlCf\ & <br /> <br />SIGNATURE · ~~_ <br /> <br />****.*.*.**********~**********.*******..*********************..** <br /> <br /> <br />., ,I <br /> <br />"""1'1'1'111 <br /> <br />0llIU\JIU;:J7.J1I 111'\ <br /> <br />~lrlrl'7 Inn? 'Q 'oa~ <br />