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<br />CITY <br />BUILDING D <br /> <br />ZEPHYRHILLS PERMIT APPLICA~rION <br />ARTMENT 5335 8th Street, Zephyrhills,I1'L 33542 ~ i <br />813-78P-0020 FAX:813-780-0021 <br />DAT]t~ RECE IVED ~ :.2 ::;2...{ S"' <br />PLANS REVIEW FEE <br /> <br />JOB ADDRESS <br /> <br /> <br />OWNER'S NAME <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PL <br />ATTACH (3) SE <br />PROPERTY SURV <br /> <br /> <br />ION ~ITION OALTERATION o REPAIR ~ALL <br /> o MOVE 0 DEMOLISH <br /> OMULTI-FAMILY 0# OF UNITS OMOBILE HOME <br /> o INDUSTRIAL o SWIMMING POOL o OTI\ER <br /> ~\~\,,~~ <br /> & <br /> <br />WORK PROPSED: <br /> <br />PROPOSED USE: ~ FAMILY <br />o COMMERCIAL <br /> <br />DESCRI PTION OF <br /> <br />BUILDING SI ZE <br /> <br />I <br />SQUARE FOOTAGE~~ <br /> <br />HEIGHT <br /> <br />PLANS &, (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~I LDI l'1G <br />~CTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER 0 W.R.E.C. <br />~',{ '-- ~y..,..,<,:::~ <br /> <br />o PLUMBING <br /> <br />o ~1E:CHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o S PECIA~i'y <br /> <br />o OTHER <br /> <br />TY PE OF CONSTRUCTION: 0 BLOC~: <br />! <br />FINISHED FLOOR ELEVATIONS ~ <br /> <br />I <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />I S PROJECT IN FLOOD ZONE AREA 0 YES <br /> <br />o NO <br /> <br />PLUMBER COMPANY <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY\=\~ S? ~ '\z...~' ~ <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # \ ~ \ ~') ..'~ I. <br /> <br />************** ************************************************** <br />" <br /> <br />* * * * * * * * * * * * * * ,I *1 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br />MECHANICAL COMPANY <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br />************** ************************************************* <br /> <br />OTHER COMPANY <br />ST~TE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br />************** ************************************************* <br />