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<br />CITY <br /> <br />I 1'1 <br />OF ZEPHYRHILLS PERMIT APPLICATION <br />DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />BUlrING <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME {e!llt t1 <br />JOB ADDRESS 757e>(o <br /> <br /> <br />--s <br />Irll/C Cite. <br />BLOCK Ot)t)IJO SUBDIVISION {lYC.flYf-tn/'/-f1Z/S <br /> <br />PHONE <br /> <br />PARCEL 10 # <br />WORK PROPSED: 0 NEW CONSTR <br />o SIGN <br />PROPOSED USE: OSGL FAMILY <br />o COMMERCIAL <br /> <br /> <br />BUILDING SIZE <br /> <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />~STALL <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 />DESCRIPTION OF WORK <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />VL/Ll/lr <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PL <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 />1S 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 />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIA TY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 AREAO YES 0 NO <br /> <br />~!'~?Jiitft';'r~"~ ~..,..-,,-.~~~,..,....:lf'jt!J,",",,'''''''''''~''~''''''''''''''''''''"' ~~ rr1'1~-- ----~~-~~ --~ ~ "..... 'f"i' ~"'1~~--~:"--'" ---t-- T'--'.~r'l"""'lf;:'fI.i-r.tl-n:;'1?'nmIT]f?;m~f <br />~']:r!~i~J~~~~'j'~I'(.'~t; .::~tlj,<1 "t'I;11~f",,'i~ d j~,~ " '11 1,1: ,;. i;~ I' I I ~;:< 1;~,,;' ,_~H" ,11 j't' ''i",i~",~, f.t~~~~~f~1t't;~~ <br />~iljf'JWlJ~k ~dlttl,<! 'H~~ 11"1('~"II~j(.,11 J lj~;!.I;';~' I. 1-'+' ~ '- I "I, 1" I r :," ".>--\ JI t, 'tr_t.....,,'t!r,r~~x <br />~~J~~_-"..........~_.:.""_~"".l~...........ol. M...~I.....~.--'-~_____________ __~ ____~~__j~ J . '-' L <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 />MECHANICAL COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />*************** <br /> <br />~*************************~~************* <br /> <br /> <br />COMPANY Jl"on ~. <br /> <br />SIGNATURE <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER <br />