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<br />r <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~ St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 ~ /)~ /03 <br />DATE RECEIVED, <br />PLANS REVIEW FEE <br /> <br /> (OBTAIN FROM PROPERTY TAX NOTICE) <br />o ADDITION DALTERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />DSIGN <br />PROPOSED USE~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~<;~ <br /> <br />rL t!!- &V 14- / ~ .J- d t/cfup rk.. . <br />SQUARE FOOTA~ ~~ ~ <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />PERMITS REQUESTED <br /> <br />~1~ <br />@~(3) 3" (-02..ct '- <br /> <br />0 BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. <br />0 PLUMBING <br /> d I ) J 3. t:!>o <br />)aJ MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <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 />~FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ;>ts::nNO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br /> <br />(r~_R_-_--_I-~~..--'~ ~ COMPANYV ,#// E/"'C/d/~,I L;"'TA/JSr-_h-< <br />__ _ _ ~_. STATE CERT OR REGIST # E/Z o,/~"/ ;7/ <br />STGNATURE CITY PROCESSING # <br />'/ <br /> <br />~************************************************************* <br />... <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />*********************************************/f******~~**** ~ <br />MECHANICAL _ COMPANY ~ r ("Jrz Y7j .) C. <br />~~4~ STATE CERT-OR REGIST # t:.rVJL. vo8.s-JCJ <br />SIGNATURE CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************~************************************************ <br />