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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 ~/~~d?_:l <br />DATE RECEIVED !...~ L <br /> <br />CONTACT FOR PERMITTING ?573 - 757- YJCJ9 <br /> <br />JOB ADDRESS <br /> <br />\ Ii PHONE <br />;ll'Yt#'iU"'1 &~,roJ/ r;~~, <br />l1e/{:j",,& fJt~ "I <br />7333~ &~(I l3/vcl <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />[]ADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />~ERATION [] REPAIR [] INSTALL <br /> <br />PARCEL 10 # <br /> <br />[] SIGN <br /> <br />[] MOVE <br /> <br />[] DEMOLISH <br /> <br />PROPOSED USE: ~ FAMILY DWELLING <br />COMMERCIAL <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[]# OF UNITS <br />[] SWIMMING POOL <br /> <br />[] MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />F;r/~ h;JkCi~4 tLc<</~--1 <br /> <br />S jlq~S' <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 />11 '-12)1 <br /> <br />[] BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[] Progress Energy [] <br /> <br />W.R.E.C. <br /> <br />[] PLUMBING <br />[] MECHANICAL <br /> <br />~()o ~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />~ <br /> <br />[] GAS [] ROOFING [] SPECIALTY <br />TYPE OF CONSTRUCTION: ~OCK [] FRAME <br />FINISHED FLOOR ELEVATIONS /(j I... [) If <br />I <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES <br /> <br />D NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <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 />~ H H H H H' ,H' * * * * * * * * * * * * * * * * * * *~ * * * * *.* * * *.* * * * * * * * * * * r <br />MECHANICAL ~ COMPANY . >t5c: / JP'''''' Vq /. p~ S <br /> <br />SIGNATURE . t STATE CERT OR ~EGIST # <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />