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<br />HEIGHT _ /_______. <br />// ~ <br />& (1) SET ENERG' \ <br />FORMS. ) <br /> <br /> <br />!~~ 1 ~ <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICAT~U~ <br />BUILDING DEPARTMENT 5335 STII st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-7S0-0021 <br /> <br />DATE RECEIVED- <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />PHONECh1-q9~ <br />uJ4y <br /> <br />JOB ADDRESS <br /> <br />fJ7 ft7 Erti:- o/flS L[J <br />~7 I ~ . 9::J~ r;+ft <br /> <br />SUBDIVISION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # C) f -Ol(P-~/-O~ .- ()(j)/a.::> <br />WORK PROPSED: ~ONSTRUCTION o ADDITION <br /> <br />e>d 90lOBTAIN FROM PROPERTY TN< <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />OJ <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 />Ot- <br />O( <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT <br />/~,.t X> <br /> <br />& HEALTH DEPARTMENT APPROVAL <br />M'""'-L<-4r-. <br />SQUARE FOOTAGE ~ <br /> <br />BUILDING SIZE <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 /> <br />PERMITS REQUESTED <br /> <br />BUILDING <br /> <br />$ /r;&~_Ov <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C <br /> <br />PLUMBING <br /> <br />I MECHANICAL <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />$ <br /> <br />I GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OT HER <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 YES <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 />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER ~ ~ <br />SIGNATURE ,~- ~~ U.J <br />/' - <br /> <br />COMPANY Po x:; (to em.,oa:t::::r/. <br />STATE CERT OR REGIST # ~--~~~ <br /> <br />