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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 RECE IVED <br /> <br />f;~<; <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PHONE <br /> <br />)&'tJ ?tt /)2 <br /> <br />l.tIi/ <br /> <br />BLOCK <br /> <br />SUBDIVISION EJ1tc;>j-(j.Ji . f/oUt'r <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />Gl--fNSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />1 . <br />DESCRIPTION OF WORK 1// / "e <br /> <br />P"'bW/ 80 ~ <br /> <br />1-0 <br /> <br />,-? . , <br />t/1 ~I' .. ,,' ; <br /> <br />/ C. ()j.1 A/It' r <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 /> PERMITS REQUESTED <br />o BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br />~ECTRICAL Idu AMP SERVICE 0 Progress Energy g..--- W.R.E.C. <br /> , <br />o PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />g-"1'RAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES [3-NO <br /> <br />-="""""'~~~-'~'""I"""'~-- ------- ---- - - -- - - - - --- .- ."...,.~--_. _..._~-_.._--_._-.-~~~.~. <br />ijl~11>~?1t\];W~tVt4il!f&'it~~oMJ~f;1;!;"'lj~'{I'1 T.lt I,,, ,'j/ t4'''l~' jt;'~t!J~fl~~l+~I'~~~'"~ ~ IT <br />lt~~~1J~da'~:~~~J!j~L_________ __ .__..__..._ . _.._J~_:~~~~M~~.~~~'" ,n.. " , <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE (J <br /> <br />COMPANY <br /> <br />.~o~ <br /> <br />J <br /> <br />ifl1 <br /> <br />.~ <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 />