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<br />1'1' <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE <br /> <br /> <br />PHONE CONTACT FOR PERMI <br /> <br />__"'-"'o:lS <br /> <br /> <br />PHONE I S<i? - ~33 <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />-Od--oO <br /> <br /> <br />WORK PROPSED: <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: []SGL FAMILY WELLING <br />o COMMERCIAL <br /> <br />OMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />~IMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J,RESTAURANT & HEALT~ DEPARTMENT APPROVAL <br />S .M~l^, rOoL. <br /> <br /> <br />SQUARE FOOTAGE HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PL <br />COMMERCIAL: ATTACH (3) SE <br />IF SIGN PERMIT ONLY (2) S <br />PROPERTY SURV <br /> <br />T PLANS & (2) SETS OF BUILDING PLANS & SET ENERGY FORMS. <br />S OF BUILDING PLANS & (1) SET EN~ <br />TS OF ENGINEERED PLANS REQUIRED. . ~ <br />Y REQUIRED FOR ALL NEW CONSTRUC <' .~ <br /> <br />...... <br /> <br /> <br />o BUILDING <br /> <br />$ <br /> <br />J- PERMITS REQUESTED <br />Li~Jt>~ VALUATION OF TOTAL CONSTRUCTION <br />, <br /> <br />f-- AMP SERVICE <br /> <br />I <br />! <br /> <br />o ROOFING <br /> <br />o OTHER <br /> <br />o Progress Energy 0 <br /> <br />I~(J..~ )~~ Ol:~.J 1l'fJ) <br />j N ~~"pLI ;;;Jl,,- <br />VALUATION OF MECHANCIAL INSTALLATION ~111''' #' <br />~ Lf2", L <br /> <br />fl't\\l\. .,-~ <br />j)N'UlAlf <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />W.R.E.C. <br /> <br />[] ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />[] GAS <br /> <br />o SPECIA~TY <br /> <br />, <br /> <br />TYPE OF CONSTRUCTION: 0 BLOrK <br />i <br />FINISHED FLOOR ELEVATIONS ~ <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />[] OTHER <br /> <br /> <br />SIGNATURE <br /> <br />?-.- ~~ <br />')"J. <br />ELECTRIC! <br /> <br />SIGNATURE <br /> <br />~s: ~~ <br />PLUMBER <br /> <br />*************************************************** <br /> <br /> <br />COMPANY t-Jt5m,l '/owN IOD! ~ ];., C <br />STATE CERT OR REGIST # ~L ()~b 9~1 <br /> <br />*************************************************** <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />************** ************************************************** <br /> <br />OTHER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />~/ <br />