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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUILDING DEPARTMENT 5335 BTH St, Zephyrhills, FL 33542
<br />813-780-0020 FAX: 813-780-0021
<br />
<br />DATE RECEIVED
<br />
<br />PHONE CONTACT FOR PERMIT'l'ING (<i?\1)~~ -ooe'll
<br />
<br />OWNER'S NAME ~o~'^- ~ 5~~v\e ~
<br />JOB ADDRESS 60":2.. C, I ~ <S't I
<br />
<br />~~v f(,?-
<br />
<br />PHONE
<br />
<br />~\)\ I~')..- bo')b
<br />
<br />LEGAL DESCRIPTION: LOT(S)
<br />
<br />BLOCK
<br />
<br />SUBDIVISION
<br />
<br />PARCEL ID #
<br />
<br />(OBTAIN FROM PROPERTY TAX NOTICE)
<br />
<br />WORK PROPSED: 0 NEW CONSTRUCTION
<br />
<br />o ADDITION
<br />
<br />o ALTERATION
<br />
<br />(B""'R'E P AI R
<br />
<br />o INSTALL
<br />
<br />o SIGN
<br />
<br />o MOVE
<br />
<br />o DEMOLISH
<br />
<br />PROPOSED USE: 0 SGL FAMILY DWELLING
<br />o COMMERC IAL
<br />
<br />DMULTI-FAMILY
<br />[] INDUSTRIAL
<br />
<br />0# OF UNITS
<br />[] SWIMMING POOL
<br />
<br />o MOBILE HOME
<br />[] OTHER
<br />
<br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
<br />DESCRIPTION OF WORK Je ~,;.,Z..... C). ~. 5~vV'\L"'" M~'t-"l.v c.~....... ~ ~ fl..
<br />
<br />BUILDING SIZE
<br />
<br />SQUARE FOOTAGE
<br />
<br />HEIGHT
<br />
<br />PERMITS REQUESTED
<br />
<br />& (1) SET ENERGY FORMS
<br />FORMS. .. \'
<br />
<br />
<br />/ ~-* 1, ~ 0 D /J
<br />~ ~.///
<br />///
<br />
<br />/'"
<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 />o ELECTRICAL
<br />
<br />11-~
<br />
<br />i
<br />\
<br />VALUATION OF TOTAL CONSTRUCTI~,__.
<br />
<br />AMP SERVICE ~progress Energy 0
<br />
<br />W.R.E.C.
<br />
<br />o BUILDING
<br />
<br />$
<br />
<br />o PLUMBING
<br />o MECHANICAL
<br />
<br />$
<br />
<br />VALUATION OF MECHANCIAL INSTALLATION
<br />
<br />[] GAS
<br />
<br />[] ROOFING
<br />
<br />[] SPECIALTY
<br />
<br />[] OTHER
<br />
<br />TYPE OF CONSTRUCTION: [] BLOCK
<br />
<br />[] FRAME
<br />
<br />D STEEL
<br />
<br />D OTHER
<br />
<br />FINISHED FLOOR ELEVATIONS
<br />
<br />IS PROJECT IN FLOOD ZONE AREAD YES
<br />
<br />o NO
<br />
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<br />~~~................~_____....._~-.... ~~..J~_ ~ ~~........._.......~_.,-- ~___~____ _ _ ~ _~ _ _~_._______ ~""":_...4~~'-:2.L.tl.~~~~'k..:=~'~....._!:i'
<br />
<br />BUILDER
<br />
<br />COMPANY
<br />
<br />SIGNATURE
<br />
<br />STATE CERT OR REGIST #
<br />
<br />******************************************************************
<br />
<br />ELECTRICIAN
<br />SIGNATURE ~~ ~
<br />
<br />COMPANY
<br />
<br />Re.p~e
<br />
<br />F:J" t:.\::-, ~ r~ I
<br />.
<br />
<br />jl..1 Ye;
<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 />******************************************************************
<br />
<br />MECHANICAL
<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 />
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