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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 RECE IVED <br /> <br />~/?/o5 <br /> <br />I ' <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PHONE <br /> <br />L~ T /5'7 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />o SIGN <br /> <br />[JADDITION <br />[J MOVE <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[JMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />[J # OF UNITS <br />[J SWIMMING POOL <br /> <br />Et MOBILE HOME <br />[J OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE 21 k c...; I <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 />/,j'Jf)(I.t IW)I fv~'~ <br /> <br />PERMITS REQUESTED \ "Yll'ltlf"''/ ~/ <br /> <br /> <br />o BUILDING $ VALUATION OF TOTAL CONSTRU~--~ <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J Progress Energy [J <br /> <br />W.R.E.C-,-- <br /> <br />\ <br />\ <br />\ <br /> <br />[J PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />padmE~S IO pa~u1Id 'padA~ amEN <br /> <br />padmE~S IO pa~U1Id 'padA~ amEN <br /> <br />~UamDpaTMOU~aE 6U1~E~ UOSIsd JO sIn~Eu6TS <br /> <br />~uams6psTMou~oe 6uT~e~ UOSIsd JO aIn~eu6TS <br /> <br />q~EO UE a~E:j. ~OU PH:{] PTPO oqM pUE <br />(uoT~eoTJT~uaPT JO adA~) <br />paonpoId seq oqMO <br /> <br />IO 'am o~ UMOU~ ATTeuosIad sT oq~ <br />(ps6pSTMou~ae uosIsd 10 smeu) <br />Aq <br />- OZ ' 10 AEP- slq~ sm sIoJag <br />pa6paTMou~oe seM ~uamnI~suT 6uT06aIo~ aq~ <br /> <br />'q~eo ue S~E:j. ~OU PTPO PTP OOqM pUE <br />(uoT~eoTJT~uaPT JO adA~) <br />paonpoId seq OqMO <br /> <br />..._ T T ..,n^,,", <br /> <br />IO, 'sm o~ UMOU~ ATTEUOSISd S1 OqMO <br />(ps6pSTMou~oe UOSIsd Josmeu) <br />Aq <br />-oz ' JO AEP - s1q~ sm aIOJas <br />ps6paTMou~oe seM ~uamnI~suT 6uTo6aIoJ aqi <br />.W X~NnO;) <br />