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<br />1111 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING PEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />/O/~f}/?E <br />f ( <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAM <br /> <br /> <br />PHONE _ ~ /3 - 7 if...) -0 P ...:<-S <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br /> <br />WORK PROPSED: ONEW <br />~N <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: oSGL FAMILY, 'oMULTI-FAMILY <br />S; /j)&l (.II S ,~~ <br />o COMMERCIAL 0 INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />RESIDENTIAL: ATTACH {2} <br />COMMERCIAL: ATTACH {3} SET <br />IF SIGN PERMIT ONLY {2} SE <br />PROPERTY SURVE <br /> <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WO <br />S ,. <br />.BJI~N8' SIZE <br /> <br />-..s tcbd, U,'.{ (ck <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />PLANS & {2} SETS OF BUILDING PLANS <br />OF BUILDING PLANS & {l} SET ENERGY <br />S OF ENGINEERED PLANS REQUIRED. <br />REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& {l} SET ENERGY FORMS. <br />FORMS. <br /> <br />o BUILDING <br /> <br /> <br />PERMITS REQUESTED <br /> <br />-d )07~ <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 /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />~HER S'i'~ <br /> <br />o GAS <br /> <br /> <br />o ROOFING <br /> <br />TYPE OF CONSTRUCTION: ~OC <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 />BUILDER <br /> <br />__ COMPANY <br />F2 5~ <br />J 'STATE CERT OR REGIST # ~ OL-35/3 f <br /> <br />~************************************************ <br /> <br />ELECTRICIAN COMPANY <br /> <br />I <br />SIGNATURE I STATE CERT OR REGIST # <br /> <br />****************fl**************************************,.********* <br /> <br />1 <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 /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />