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<br />... . <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8'1'B St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />o?-- '/- D tj <br /> <br />PHONE CONTACT FOR PERMITTING (if /3' 17/~-~271 <br /> <br /> <br />PHONE &52..) 5" 2 ~ -CJ ~Z5 <br /> <br />SUBDIVISION.3/.?if~ OA~S-V/L{~ <br /> <br />OSIGN <br />PROPOSED USE: ~ FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />OMULT I - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK 5/N00~ r/rM/L-Y PWr;-t.-WIUu:::> <br />BUILDING SIZE YO / X &0 I SQUARE FOOTAGE /9%lJ 5{J.-&:- <br /> <br />HEIGHT <br /> <br />g'/ <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 />o BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />r( .s;OC);}" ~ VALUATION OF TOTAL CONSTRUCTION <br />, <br /> <br />700 AMP SERVICE ~LORIDA POWER 0 <br /> <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL $ <br />o GAS ~FING <br /> <br />3 po <br />I t".:{;C}. --- <br />, <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br />~E <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />o SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES BiW <br /> <br />BUILDER <br /> <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************** <br /> <br />ELECTRICIAN <br />SIGNATUR~ ~ ~..a.. <br /> <br />COMPANY~t.. ~..,..( I ~. <br /> <br />STATE CERT OR REGIST # <br /> <br />f&.f&(c; <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br /> <br />COMPANY ~/6/ JtI. y l1e5 f/r/n b ;"J II1c <br />STATE CERT OR REGIST # R F OtJ ht; '"If; 1 <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />*********************************************t******* <br />COMPANY S" /f" A/ w ~ <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />I( ftJ I} 0) If <t. It I <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />