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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL :13542
<br />813-780-0020 FAX: 813-780-0021
<br />
<br />DATE RECEIVED
<br />
<br />PHONE CONTACT FOR PERMITTING
<br />
<br />JOB ADDRESS
<br />
<br />(;4{of-/<J1 iJA,L
<br />t?1!), ~A!( /f/I{I
<br />
<br />PHONE
<br />
<br />OWNER'S NAME
<br />
<br />LEGAL DESCRIPTION: LOT(S)
<br />
<br />BLOCK
<br />
<br />SUBDIVISION
<br />
<br />WORK PROPSED: DNEW CONSTRUCTION
<br />
<br />DADDITION
<br />
<br />(OBTAIN FROM PROPERTY TAX NOTICE)
<br />~
<br />DALTERATION ItJ'REPAIR D INS'I'ALL
<br />
<br />o DEMOLISH
<br />
<br />PARCEL ID #
<br />
<br />D SIGN
<br />
<br />D MOVE
<br />
<br />PROPOSED USE: D SGL FAMILY DWELLING
<br />D COMMERCIAL
<br />
<br />DMULTI-FAMILY
<br />o INDUSTRIAL
<br />
<br />D# OF UNITS
<br />D SWIMMING POOL
<br />
<br />D MOBILE HOME
<br />D OTHER
<br />
<br />DESCRIPTION OF WORK
<br />
<br />c:J RESTAURANT & HEALTH DEPARTMENT AP.~OVAL
<br />
<br />7- 'VJ ,4~! rJft:/Jrti 'rf rl: }~
<br />
<br />1ft wdl
<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 FOR ALL NEW CONSTRUCTION.
<br />
<br />& (1) SET ENERGY FORMS.
<br />FORMS.
<br />
<br />PERMITS REQUESTED
<br />
<br />) l{ot(
<br />
<br />D rLDING
<br />l1iJ" ELECTRICAL
<br />
<br />$
<br />
<br />p'0/
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />AMP SERVICE
<br />
<br />~ress Energy D
<br />
<br />W.R.E.C.
<br />
<br />D PLUMBING
<br />D MECHANICAL
<br />
<br />$
<br />
<br />VALUATION OF MECHANCIAL INSTALLATION
<br />
<br />D GAS
<br />
<br />D ROOFING
<br />
<br />D SPECIALTY
<br />
<br />D OTHER
<br />
<br />TYPE OF CONSTRUCTION: D BLOCK
<br />
<br />D FRAME
<br />
<br />D STEEL
<br />
<br />D OTHER
<br />
<br />FINISHED FLOOR ELEVATIONS
<br />
<br />IS PROJECT IN FLOOD ZONE AREAD YES D NO
<br />
<br />Bt.!!:"IMj!'i"!lHC'1!....,~..,,.,...fffl'1"t1-'ff''''1:'~,.,,.,-'''"'''...,...,.,....,. ~~~~~-I"?"'~";,:"-, ,~-,-,-~--~~------- - ~ - - ~- --~~-- ~---~~~~~i"!-~~~
<br />~~r~"bit~;-i~ ;;;}~L~l:";,f~ i:' } ,'~ /~~" t:~ w{ ~ '" I :'~ :~J1\ ,.~~~V/,,! :~c:;', :' 1 ~ df,al"'.," Jolt ~t~~~~\71~~!')~ ~!{~)tTiWtj&!1~ili~WJ/W~ffif~#r;Y,;~-4J3~Jo~ e '" ;It ~~~
<br />J ',"f"";' "", ~', ",'f" ,,', " "I',.~' ";:,, , t ':'€":""B1"fl"1lli"['!1t~'f'a,:f,C'!#i;%"'i!t'!\;I"'Jt;).;l[ii"jl"J!l';~iii<l!i"1II1".Jr':i;'iji,
<br />.w.~~~~~~~.lM~"~~,",,,"~~~.;W;J_....wl;~~~~_.........__________ __ ___~____ ~ ____~__~~:......~.J..L;,..~~~.....:~~~~~~~ -
<br />
<br />BUILDER
<br />
<br />COMPANY
<br />
<br />SIGNATURE
<br />
<br />STATE CERT OR REGIST #
<br />
<br />SIGNATURE
<br />
<br />
<br />
<br />~f)l
<br />
<br />ELECTRICIAN
<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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