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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATiUN <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, Fl. 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DA'rE RECEIVED <br />PHONE CONTACT FOR PERMITTING 35~~ tf) if' 150t! <br /> <br /> <br />OWNER'S NAME. <br /> <br />PHONE; 3,!:J;<' tjc{ Y' !SOt! <br />! FL 3-;~c;'id- <br /> <br />SUBDIVISION 1\1/j- <br /> <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[JADDITION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />[JALTERATION ~PAIR [J INSTALL <br /> <br />PARCEL 10 # <br /> <br />'.~.,)..& ..~, . COIO,;) ,'3<:'0' 0' )j- <br /> <br />[J SIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />[JCOMMERCIAL <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />[JMULTI - FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />DOTHER <br /> <br />BUILDING SIZE <br /> <br />~~ESTAURANT & HEALTH DEPARTMENT <br /> <br />I r {)"tlH;, floor! Ilj, <br /> <br />SQUARE FOOTAGE <br /> <br />APPROVAL <br /> <br />DESCRIPTION OF WORK <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 /> <br />PERMITS REQUESTED <br /> <br />[J BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br />(,=9.:-~?~B_IN~_~) <br />[J MECHANICAL <br /> <br />AMP SERVICE <br /> <br />D Progress Energy D <br /> <br />W.R.E,C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <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 />****************************************************************** <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 />