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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 />7c)o-ot/ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PHONE <br /> <br />3//3 <br /> <br />791-08lS ) <br />/ <br /> <br />~_._~..-_.-,. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(ORTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULT I - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />OSWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~ <br /> <br />SlIt (,JO-e1L <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 FO~ALL NEW CONSTRUCTION. <br /> <br />~ -r-:-'n/~r-~~~ slK <br />PERMITS REQuEsTED <br />$ 21~OCf( ";>0 <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />P~)T flSfi <br />i ~~~. c~ <br /> <br />o BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />D W.R.E.C. <br /> <br />o PLUMBING <br />b MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALU\TION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />[] SPECIALTY <br /> <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 />SIGNATURE <br /> <br />//~ <br /> <br />~ /cf.-X- <br /> <br />CONTRACTOR ..... SECTION /' <br />COMPANy,..L ~ /t1 A /7/ (! (.) /V J' '//2 aCTA_Vv <br /> <br />IS PROJECT IN FLOOD ZONE /0 YES <br />// <br /> <br />o NO <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />*********************************************************.********* <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 />