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<br />Of <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION rt ~tu.l <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 ~ ! <br />813-780-0020 FAX:813-780-0021 q -? !II(; > <br />DATE RECE IYED I ,"' (()., . <br /> <br />LEGAL DESCRIPTION: l,OT (S) <br />PARCEL 10 It 03 -c:(fo . ~/- o/ttJ <br /> <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />WORK PROPSED: DNEW CONSTRUCT QlN <br /> <br />PROPOSED <br /> <br />OSTGN <br />USE~SGL FAMILY <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />o Al.TERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLI SH <br /> <br />DW I,LING <br /> <br />OMUl,T I - 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 />DESCRIPTION OF WORK <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT <br />COMMERCIAL: A.TTACH (3) SETS <br />IF SIGN PERMIT ONLY (2) SET <br />PROPERTY SURVEY <br /> <br />B'LANS & (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 />& (11 SET ENERGY FOru1S. <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />~9, - <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />o GAS <br /> <br />o SPECIALT~ <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />( 13 ,.f/) <br />( 'B 13 ) ~ 2J - :;l.:J..O () <br /> <br />"--. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o ROOFING <br /> <br />o OTHER <br /> <br />FINISHED FLOOR EI,EVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br />G""'H,';~" "":"~'M".'" ',. <br />, i"'< .' , . <br />".w -..'.'" - , <br />~,'(,."!,:"".~'..'!',;t,...'.::-~'Jij':""; t'- _. ~ <br /> <br /> <br />.,.' '.'., ~..iR <br />,IMlt, <br /> <br />,____,.J <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 />COMPANY <br /> <br />!~,~- <br />0;:; <br />',,", ra <br />"-: 0 <br />c; <br /> <br /> <br />I <br />+ <br /> <br />STATE CERT OR REGIST # <br /> <br />* ************************************************* <br /> <br />CJ <br />"I..., <br />~ <br />'...... <br />~ <br /> <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />"/~~t................... .......LS::77../JI... <br /> <br /> <br />COMPAN ~fU!ll-U-,---,- <br />STATE CEPT OR REGIST #----yf~~___"dm'_ <br />~~*'~Q ~ <br /> <br />