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<br />I 1'1 <br /> <br />CITY or ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING PEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />/; (' <br />BLOCK oOJi1O SUBDIVISION (?/(fd-f Y/ r: w /-# l/.<; <br />o -O-'C'OO - 03,0 <br /> <br /> <br />LEGAL DESCRIPTION: <br /> <br />PARCEL 10 # <br /> <br />WORK PROPSED: 0 NEW CONSTRUCT <br /> <br />o SIGN <br /> <br />N <br />I <br />! <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />fuNSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />i <br />PROPOSED USE: DSGL FAMILY OW ~LING <br /> <br />o COMMERCIAL <br /> <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 />& HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />PfANS & (2) SETS OF BUILDING PLANS <br />o BUILDING PLANS & (1) SET ENERGY <br />F ENGINEERED PLANS REQUIRED. <br />R,~QUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT <br />COMMERCIAL: ATTACH (3) SETS <br />IF SIGN PERMIT ONLY (2) SET <br />PROPERTY SURVEY <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />o BUILDING <br /> <br />$ <br /> <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />4MP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />~ER <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 AREAD YES <br /> <br />o NO <br /> <br />BUILDER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />****************** 4********************************************** <br /> <br />ELECTRICIAN COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />****************** ********************************************* <br /> <br />PLUMBER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />********************~********************************************* <br /> <br />MECHANICAL COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />****************** ********************************************** <br /> <br />OTHER <br /> <br /> <br />COMPANY ..AMeIl; (leu( T7l/l J:jC{fttlJt <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />