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<br />1'1' <br /> <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 RECEIVED <br /> <br />~ <br /> <br />"""ER" lAME Dontt Id. _ Me H;~++()~_ <br />JOB _ss 3 g '] 0 3 ~ rn I~ L#'1 <br /> <br />1-- LEGALf>ESCRIPTION: LOT (S) ~ BLOCK <br /> <br />PARCEL to # O~-~fo,,; ~I- O~~O -00000- 0000 <br /> <br /> <br />WORK PRO~SED: ONEW CONSTRUC~ION <br />i <br /> <br />PHONE l<CONTACT FOR PERMITTING 5;< I - tfi1 77 <br /> <br />PHONE __&/3) '1g0 -gfoSC[ <br />S!P.Pfi l1ot/ow cttlS~ <br /> <br />SUBDIVISION <br /> <br />- <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />o ALTERATION %REPAIR 0 INSTALL <br />o DEMOLISH <br /> <br />o ADDITION <br /> <br />PROPOSED U~E: OSGL FAMILY D1ELLING <br />o COMMERCIAL <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 />BUILDING SIZE <br /> <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />Ale- W'l11", <br /> <br />DSSCllIPTION OF woRk <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLO <br />COMMERCIAL: ATTACH (3) SET <br />IF SIGN PERMIT ONLY (2) SE <br />PROPERTY SURVE <br /> <br />PLANS & (2) SETS OF BUILDING PLANS <br />OF BUILDING PLANS & (1) SET ENERGY <br />S 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 />AMP SERVICE <br /> <br />o Progress Energy [] <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />~ MECHANICAL <br />o GAS 0 ROOFING <br /> <br />$ <br /> <br />/qoO to <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BL01K <br />FINISHED FLOOR ELEVATIONS <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 />******************************************************~,*********** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />~LUrttL <br /> <br />***************************:1:}**~**t*?f-t***r~***** )I <br />COMPANY 1..1"15 'tC L.() VV\.fM\. <br /> <br />lVY~ STATE CERT OR REGI ST it CAt 0 5 g 5 '75 <br /> <br />************** <br /> <br />MaCHANlCAL <br /> <br />*************** ************************************************ <br /> <br /> <br />OTHER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br />