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<br />OWNER'S NAME <br /> <br /> <br />I I <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhil'ls I pit 33542 <br />813-780-00~~ FAX:813-780-0021 <br />~' DATE RECEIVED <br /> <br />P~T~ERMITTING <br /> <br />~... <br /> <br />.' <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br />WORK PROPSED: ~EW CONSTRUC <br /> <br /> <br /> <br />o ADDITION <br /> <br />o ALTERAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />I <br />i <br />I <br />DW~LLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />2<tJx' <br /> <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />(i) ( vVV'b;:o L qR <br /> <br />DESCRIPTI~N OF WORK 'IV ~ <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT <br />COMMERCIAL: ATTACH (3) SETS <br />IF SIGN PERMIT ONLY (2) SET <br />PROPERTY SURVEY <br /> <br />PLANS & (2) SETS OF BUILDING PLANS <br />OF BUILDING PLANS & (1) SET ENERGY <br />OF ENGINEERED PLANS REQUIRED. <br />REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />.PLUMBING <br /> <br />o MECHANICAL $ <br /> <br />o GAS 0 ROOFING 0 SPECIALTyl <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK I <br />I <br />FINISHED FLOOR ELEVATIONS ~ <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />1t~1 8'1 <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 0 NO <br /> <br /> <br />BUILDER COMPANY <br />SIGNATURE r STATE CERT OR REGIST # <br />*****************~************************************************ <br /> <br />ELECTRICIAN COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # _ <br /> <br />PLUMBER <br /> <br />* * * * * * * * * * * * * * * *- * * * * * * * * * * * * * * * * * * * * * * * * * * * ~. * * * * * * * * <br /> <br /> <br />~fi~+/)~ COMPANY ~ -~~S-~ ~ <br /> <br />'{i.Q..~~ ~ STATE CERT OR REGIST # OC>C9tlfr!Jro I <br /> <br /> <br />~*==* .*~:.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * <br /> <br />SIGNATURE <br /> <br />MECHANICAL COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />***************** *********************************************** <br /> <br />OTHER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br />