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<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 />;) - !J f?-[) ~-- <br /> <br />PHONE CmrrACT FOR """MITTING I~\ 3 41.00 E-411 <br />dY'V . . <br />Fo..r \e'( PHONE 8\,3; 782. {oCr /Lf. . <br />\ D.-!.h.. S:-\;(-ee*, geph.yrh. t~s.~L 3354-Z- <br />BLOCK'?--- SUBDIVISION . . <br />~(#)--1 \ .2lP . 2. \ . 00\0 · OloS'OO I D\ 30 <br /> <br />JOB ADDRESS <br />I:- <br /> <br />G'lro\'1V'\ <br />35Zo \ <br /> <br />OWNER'S NAME C <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />. Ke Koo-\- <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 />~$Il!) <P <br /> <br />rl <br /> <br />;' a: <br />i 'I.,' <br />v.E--.\ ,ii /, tf ] // <br />~// <br /> <br />/ <br />--~BUILDING <br /> <br />o ELECTRICAL <br /> <br />$ <br /> <br />a., otJ D <br /> <br />VALUATION 01 <br /> <br />. <br /> <br />AMP SERVICE <br /> <br />o <br /> <br /> <br />NO <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OE <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o S <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS P <br /> <br /> <br /> <br />.-, <br />.......-- <br /> <br />COI <br /> <br />BUILDER <br /> <br />_ _STATE CERT OR REGIST # <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <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 />