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<br />I ~!! <br />CITY 9 ZEPHYRHILLS PERMIT APPLICATION <br />BUILDIN$ DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />! 813-780-0020 FAX: 813-780-0021 <br />DATE RECE IVED <br /> <br /> <br /> <br /> <br />JOB ADDRESS <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: 0 NEW CONSTRU fION <br /> <br />oSIGN <br /> <br />PROPOSED USE: DSGL FAMILY ~ELLING <br />I <br /> <br />o COMMERC IAL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PL <br />COMMERCIAL: ATTACH (3) SE <br />IF SIGN PERMIT ONLY (2) S <br />PROPERTY SURV <br /> <br />o BUILDING <br /> <br />$ <br /> <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />TYPE OF CONSTRUCTION: 0 BLOC <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PHONE <br /> <br />BLOCK(LlQa) SUBDIVISION ()ftfIi}//Wh/lIS <br />00 Ot) - C53J b <br /> <br />o ADDITION <br /> <br />o REPAIR <br /> <br />e-1NSTALL <br /> <br />DALTERATION <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 />& HEALTH DEPARTMENT APPROVAL <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />TI PLANS & (2) SETS OF BUILDING PLANS <br />SI OF BUILDING PLANS & (1) SET ENERGY <br />Tk OF ENGINEERED PLANS REQUIRED. <br />yl~REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />8(Y;HER <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 />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 />**************** *********************************************** <br /> <br /> <br />MECHANICAL COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />OTHER <br /> <br /> <br />**************** *********************************************** <br /> <br /> <br />COMPANY ;1/!e//'r'Ll/1 ~ <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />