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<br />" <br /> <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 RECEIVED <br /> <br />g ~!!-/j/ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />NOVll ko. <br />38 02 b . <br /> <br />~v 0. C( Ct. VI PHONE (<S l ~) C( q I - S ~ / I -If <br />Mt'ck"C cJ CcJev () <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT <br /> <br />~ At!iJv.~ <br /> <br />:s;r:" DEPARTM~NT APPROVAL <br />e-1fZJ I)~mv <br />-.. <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />1'8C;C- ~. <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 /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />P BUILDING <br />E1 ELECTRICAL <br /> <br />$ <br /> <br />/1 :3j / <br />!:J /~ ) <br />PERMITS REQUESTED r <br /> <br />VALUATION OF TOTAL CONSTRUCT~ / :5 'i <br /> <br />o Progress Energy 0 W.R.E.C. <br /> <br />/' <br /> <br />AMP SERVICE <br /> <br />~ PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />./.."".....---.- <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />!~:J1q / <br />AREA~S ...~ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE <br /> <br /> <br />BUILDER COMPANY <br /> STATE CERT OR REGIST # <br />ELECTRICIAN ****~~****** COMPANY <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />PLUMBER COMPANY <br />SIGNATURE.-I( STATE CERT OR REGIST # <br /> <br />MECHANICAL COMPANY <br /> <br />******************* ********************************************* <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />