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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 <br /> <br />DATE RECE IVED ------- <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PHONE bl2 -, (6- () 2-02- <br /> <br />SUBDIVISION <br /> <br />(QB.TAIN FRO!:LPROPERTY TAX NOTICE) <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o C:OMMERC IAL <br /> <br />o ADDITION DALTERA.TION o REPAIR o INSTALL <br />DMOVE 0 DEMOLISH <br />DMULTI-FAMILY D# OF UNITS D MOB ILE HOME <br />o INDUSTRIAL o SWH1MING POOL o OTHER <br /> <br />BUILDING SIZE <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />-Y lu tv\. \::, \ ~q .-('-D La 1'\ \ <br />\ <br />SQUARE FOOTAGE <br /> <br />DESCRIPTION OF WORK <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br />I ^\'~~ nLlri-- (r;;.N en=- P0-JYv1~/1 Jj L; /l)III J/ f7 ~ 10 M 5 <br />I\J -1'ST/rCClc.{J 'Lu uP rL <br />ti /'V_ PERMITS REQUESTED <br /> <br />& (1) SET ENERGY FORMS. <br />FORl1S . <br /> <br />L/~L <br />() <br /> <br />D BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICA.L <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />~BING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIA.L INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />L.____._ _, <br /> <br />CONTRAC'1'OR....SECTtON <br /> <br />..--...-. -..-----, ...- . .-.. -.. .-.-....--___.._._ ________... .1 <br /> <br />.."..- -~-- '~'--""._----'-,- ..._.__..~-- .__.~-----~-_..,-"._.._-------,----------~._--,_.._._---------,---- -..".. - ~.~.- <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 />SIGNA.TURE <br /> <br />STATE CERT OR REG 1ST # <br /> <br />~., <br />PLUMBER ~,ff..C-, . <br />SIGNATURE n~ <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY +!/Y7 <br /> <br />{]U-/~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHAN I C.AL <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 />