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<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 />PHONE CONTACT FOR PERMITTING
<br />
<br />OWNER' S NAM~"; M\\ C t) N 6\J (' 111
<br />~ - d /\ ) R -+-~ s ..
<br />JOB ADDRESS 5 ex. - . (
<br />
<br />PHONE '61 ~ 77 tj ~ 3;;)..50
<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 />OSIGN
<br />
<br />o ADDITION
<br />o MOVE
<br />
<br />o ALTERATION
<br />
<br />o REPAIR
<br />
<br />o INSTALL
<br />
<br />WORK PROPSED: ONEW CONSTRUCTION
<br />
<br />o DEMOLISH
<br />
<br />PROPOSED USE:~SGL 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 />DESCRIPTION OF WORK '12-e..~i~-0-
<br />BUILDING SIZE 3 iOO SQUARE FOOTAGE ~.20 fo()
<br />
<br />HEIGHT / C; TO 1:-1
<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 $ c2 3~ C:> VALUATION OF TOTAL CONSTRUCTION
<br />o ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C.
<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 />o FRAME
<br />
<br />o STEEL
<br />
<br />o OTHER
<br />
<br />FINISHED FLOOR ELEVATIONS
<br />
<br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
<br />
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<br />
<br />BUILDER ~. "-
<br />SIGNA;UR~~
<br />
<br />
<br />'-HOMe6ltJ ~ee-
<br />
<br />**************************************
<br />
<br />ELECTRICIAN
<br />
<br />COMPANY
<br />
<br />SIGNATURE
<br />
<br />STATE CERT OR REGIST #
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<br />******************************************************************
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<br />PLUMBER
<br />
<br />COMPANY
<br />
<br />SIGNATURE
<br />
<br />STATE CERT OR REGIST #
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<br />
<br />MECHANICAL
<br />
<br />COMPANY
<br />
<br />SIGNATURE
<br />
<br />STATE CERT OR REGIST it
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<br />*****************************************************************
<br />
<br />OTHER
<br />
<br />COMPANY
<br />
<br />SIGNATURE
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<br />STATE CERT OR REGIST it
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