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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATiU~ <br />BUILDING DEPARTMENT 5335 8TH St, Zaphyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE lVED ' <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br /> <br />PHONE 1::>45 -~ <br /> <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 10 i9A -,;;J.~~;;1./-0Dl!JO" &'O/~ - cv.:>~ (OBTAIN FROM PROPERTY <br />WORK PROPSED: ~ONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: oSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPRdvAL <br /> <br />I~.x C)o I0t J '~~e:r-- <br /> <br />SQUARE FOOTAGE ~ <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />o BUILDING <br /> <br />$ ) ~d) , (J;:>C:) <br /> <br />PERMITS REQUESTED <br /> <br /> <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 ENf~ <br />( <br />FORMS. ~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO Y <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***k************************************************************* <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 />STATE CERT OR REGIST # ________ <br /> <br />SIGNATURE <br /> <br />OTHER _~ *~ * * * * * * * * * * * * * * * ** * * * *~;~::;: *f<~~;i~* * *C~~ <br /> <br /> <br />SIGNATURf 0< - ~L~6 STATE CERT OR REGIST # 2::-~ <br />