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<br />7('0) iff <br /> <br />( <br /> <br />Lf 4iL <br /> <br />I I <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 ~ I ~ <br />DATE RECE IVED /":: _ 2-'1 () > <br />I <br />PHONE CONTACT FOR PERMITTING CO' ') -Z-io3 ~ '3 ~"7 J <br /> <br />PHONE <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: oNEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE, []SGL FAMILY D1ELLING <br />~OMMERCIAL <br />o RfSTAURANT <br />OF WORK IS l<:T:> I I <br /> <br />o ADDITION <br /> <br />fuLTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION <br /> <br /> <br />& HEALTH DEPARTMENT APPROVAL <br />- /'lR-ll.\ (rV' (-k+ NczW <br /> <br /> <br />Izcz+-(VI <br /> <br />o BUILDING <br /> <br />I <br />i <br />BUILDING SIZE i SQUARE FOOTAGE <br /> <br />RESIDENTIAL: ATTACH (2) PLOTfPLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SET OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />I <br /> <br />I <br />I <br />I <br /> <br />! <br /> <br />HEIGHT <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />I <br />, I <br /> <br />$3Ltvo I <br />i <br />o ROOFING 0 SPECIALT1 <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK I <br /> <br />I <br />FINISHED FLOOR ELEVATIONS ---l <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br /> <br />Gf MECHANI CAL <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES <br /> <br />o NO <br /> <br /> <br />BUILDER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />***************** ************************************************ <br /> <br />ELECTRICIAN COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # _ <br /> <br />PLUMBER <br /> <br />*****************r************************************************ <br /> <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />SIGNATURE. ,---2 . ~--~ <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # (/' ALO --;5 9 '1 ~D <br /> <br />***************** *********************************************** <br /> <br />OTHER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br />