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<br />I n <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />I <br />BUI:LDI~G DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 <br />, DATE RECEIVED <br />i <br />I <br />I PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br />JOB ADDRESS :-'J9GJO <br /> <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: <br /> <br />SUBDIVISION CYcs.Jr/W J--.hZ/S <br /> <br />PARCEL ID # <br /> <br /> <br />WORK PROPSED: <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />ct"'INSTALL <br /> <br />DSIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Ie / -s <br /> <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) P <br />COMMERCIAL: ATTACH (3) SE <br />IF SIGN PERMIT ONLY (2) S <br />PROPERTY SURV <br /> <br />T PLANS & (2) SETS OF BUILDING PLANS <br />S OF BUILDING PLANS & (1) SET ENERGY <br />TS OF ENGINEERED PLANS REQUIRED. <br />Y 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 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIA TY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLO K <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 0 NO <br /> <br />~~1~1TIf'T[T>~ii~~"'~;-"'r'I,,~~-,"'-"'7 ~ ~ 1;''[' ,"'- ~-""', ,'. "c"r -~- ---- -" , " -, ", '- '. r"-;~,," "'\ j:-'..';-;--;; :)'I;"'r:f"i::-~~&p;1 <br /> <br />i\"'''l'''f','~~ " '" 'i!' " \ j ",' 'i , " ",' ~ '" p 'h'''~,lf'J ~'!!'i",l, <br />~~~;::i.i.:;uL~~~:"'~~~';'I:~.L'~~~~~_,,-_ ~~_J."~__~______.~~_~_____~~~~I, ! '1,1 : r~/i; Iii" ":1. <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 COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />MECHANICAL COMPANY <br /> <br />**************** ************************************************* <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />OTHER <br /> <br /> <br />***************************************************************** <br /> <br /> <br />COMPANY_~('a/? 77Z/( <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />