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<br />I <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~B St, zephyr~ills, FL 33542 ~ <br />813-780-0020 FAX: 813-7BO-p021 ~ <br />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PEPMITTING (fI3)9J.8-S1.J~/ <br /> <br /> <br />d PHONE ('RI3) 9;;;...tf-cSt:JtfJ <br /> <br />SUfDIVISIONI?1I~~~!)~~~~~).? <br />lORTAIN FROM PROPF.RTY TAX NOTICEI <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE 0 <br />~LTI-FAMILY <br />o INDUSTRIAL <br /> <br />OALTERATION <br />i <br />I <br />I <br />DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: <br /> <br />o ADDITION <br /> <br />I <br /> <br />0# OF UNITS <br />; <br /> <br />o MOBILE HO <br />.0 OTHER <br /> <br />o ~WIMMING POOL <br /> <br />i <br />c:J RESTAURANT & HEALTH DEPARTMENT ~PPROVAL <br />DESCRIPTION OF WORK iJt//lLE X <br />BUILDING SIZE ~ 9 ~ ~ 'J <br /> <br />SQUARE FOOTAGE <br /> <br />;).otP I <br /> <br />HEIGHT <br /> <br />/Sl <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDINGiPLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ~NERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIREq. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUqTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />~ FLORIDA P;OWER <br /> <br />c orJfi AA fL~bV <br />fiAJS l) >>Tt ~ <br />eRi2:(j fl cA- TI ~ ~ <br />~ 1\.\ f', Lh:. <br />RItl ~ Tb <br />o W.PI.E.C. / <br />C. 0 <br /> <br />PERMITS REQUESTED! <br /> <br />o BUILDING <br /> <br />$ 6 5'. Ot)() <br />3()() <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o PLUMB1NG <br />tJ MECHANICAL <br /> <br />$ <br /> <br />?t)tJt.J <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING 0 SPECIALTY <br /> <br />OTHER <br /> <br />FINISHED FLOOR <br /> <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />AREA~S ~o <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />~IS <br /> <br /> <br />BUILDER <br /> <br /> <br />STATE CERT O~ REGIST # C&ct:J~t!J~9 'I <br /> <br />SIGNATURE <br /> <br />****************************************~*****~*****************" <br /> <br />COMPANY f7C/f:pf C4:!i5 c:7~;c- <br />I <br /> <br />STATE CERT O~ REGIST #,c3C- c'}C)o2b?c> <br /> <br />****'***** <br /> <br />*****************************t********'*******'" <br /> <br /> <br />COMPANY ~/~v JIlf/J1R5 f/v/f'lb/~"J Xi/JC, <br />STATE CERT O~ REGIST # CFC/ ,/.2 {,; /~ <br /> <br />SIGNATURE <br /> <br /> <br />***'*******'*'********""'*****'**********"'*"*** <br /> <br />COMPANY :Iu;tu. 'J ~., ra/r'2J <br />STATE CERT OR REGIST # CA<:. f~/,'?C?.f. <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />'**********'*****************************************'*********** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REG 1ST # <br />