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<br />I Ii <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 />101-/05 <br /> <br />D~~~Mll ~ERVICf <br />PHONE CONTACT FOR PERMITTING-866-824-7894 <br />Toll Free <br /> <br />OWNER'S NAME PHONE <br /> <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />EY"nerCL\d. <br /> <br />0['(\ e <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # <br />WORK PROPSED: ~EW CONSTRUCT dN <br />o SIGN <br />PROPOSED USE: ~L FAMILY DW LILING <br />o COMMERCIAL <br /> <br /> <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />c:J RE TAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />IOJ. ' <br /> <br />RESIDENTIAL: ATTACH (2) PLOT <br />COMMERCIAL: ATTACH (3) SETS <br />IF SIGN PERMIT ONLY (2) SET <br />PROPERTY SURVEY <br /> <br />plLANS & (2) SETS OF BUILDING PLANS <br />qF BUILDING PLANS & (1) SET ENERGY <br />pF ENGINEERED PLANS REQUIRED. <br />RIEQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (I) SET ENERGY FORMS. <br />FORMS. <br /> <br />o MECHANICAL <br /> <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~UILDING <br />~ECTRICAL <br />~LUMBING <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALT <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN <br /> <br />*********************************************** <br /> <br />ikwl.AJV~ .LJ 5' .~o <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />PLUMBER <br /> <br /> <br />~-* * ** *** ** *** **** **** ** ***** * ** ************* ** ** ~ <br /> <br /> <br />I COMPANY ~(JV-//lf'r ~'b I iU'~ <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />************************************************ <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />**************** <br /> <br />********************************************** <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br /> <br />OTHER <br /> <br />STATE CERT OR REGIST # <br />