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<br />I Ii <br /> <br />CIT'! OF ZEPHYRHILLS PERMIT APPLICATION * <br />BUI~ING DEPAR'l'MI!:NT 5335 8"" St, Zephyrhills, FL 33542 If} <: <br />813-780-0020 FAX:813-780-0021 /" () J <br />DA'l'E RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWN"".,.", e,.ecJ~ I UJ/UJ/fM" ,"0", <:P/d 7d"a 976/ <br />JOB ADDRESS 6 ~/ <f'. #r; /l/T7/VlP-nN <<11f'. <br />LEGAL DESCRIPTION: LOT(S) t:?99t1 BLOCK SUBDIVISION~/LV'ff-1' V"'~~ <br />PARCEL ID /I tf(E'c?6 .~/ .cJ/dt? . tfl!Jd(1/J' t!199tJ10BTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONS~RUCTION <br /> <br />[J SIGN <br /> <br />[J ADDITION <br />[J MOVE <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCItl.L <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J/I OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />t:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~fl~C/N(;2 CXTER/tJ/e <br /> <br />~dlf.(' <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2~ SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />[J BUILDING <br />[J ELECTRICAL <br />[J PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[J Progress Energy [J <br /> <br />W.R.E:.C. <br /> <br />~ s ...: <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />Cil~L(f~ <br /> <br />g-s/~ <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPEdIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: (] ~LOCK <br /> <br />(] FRAME <br /> <br />(] STEEL <br /> <br />(] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA(] YES (] NO <br /> <br />SIGNATURE <br /> <br /> <br /> <br />we. <br />STATE CERT OR REGIST /I CO:- -Ct1 ;).~3/ <br /> <br />BUILDER <br /> <br />.J9.i~ <br /> <br />************ <br /> <br />*************~!C)*********************************** <br /> <br />5'2 I ) COMPANY <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST /I <br /> <br />PLUMBER <br /> <br />************r*****~**********************************************"k <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST /I <br /> <br />MECHANICAL COMPANY <br /> <br />************ ****************************************************'f <br /> <br />SIGNATURE STATE CERT OR REGIST /I <br /> <br />************ **************************************************** <br /> <br />OTHER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST /I <br />