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<br />I I
<br />CI~Y 'OF ZEPHYRHILLS PERMIT APPLICATION
<br />,
<br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FI~ 33542
<br />I 813-780-0020 FAX: 813-780-0021
<br />/n_;2 3-~
<br />DATE RECEIVED LV (./~
<br />
<br />
<br />PHONE CONTACT FOR PERMITTING
<br />
<br />3'lf-d9~-717/
<br />PHONE c:P/3 - ~fp~?~C
<br />
<br />OWNER'S NAME
<br />
<br />JOB ADDRESS
<br />
<br />BLOCK
<br />
<br />SUBDIVISION
<br />
<br />PARCEL ID #
<br />
<br />'/ t!JO - 00>>
<br />
<br />OORK PROPSED:
<br />
<br />o ADDITION
<br />
<br />oALTERATION
<br />
<br />o REPAIR
<br />
<br />o INSTALL
<br />
<br />OSIGN
<br />PROPOSED USE: OSGL FAMILY DWELLING
<br />o COMMERCIAL
<br />
<br />o MOVE
<br />
<br />o DEMOLISH
<br />
<br />OMULTI-FAMILY
<br />o INDUSTRIAL
<br />
<br />O. OF UNITS
<br />o SWIMMING POOL
<br />
<br />o MOBILE HOME
<br />o OTHER
<br />
<br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
<br />
<br />BUILDING SIZE
<br />
<br />
<br />SQUARE FOOTAGE
<br />
<br />HEIGHT
<br />
<br />DESCRIPTION OF WORK
<br />
<br />PERMITS REQUESTED
<br />
<br />& (1) SE~
<br />FORMS. v----
<br />
<br />
<br />J~
<br />
<br />
<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 />o BUILDING
<br />~ELECTRICAL
<br />o PLUMBING
<br />o MECHANICAL
<br />
<br />$
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />AMP SERVICE
<br />
<br />o Progress Energy 0
<br />
<br />W.R.E.C.
<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 AREAo YES 0 NO
<br />
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<br />~.!..~"""""""~~~_'-'04__w"'-~....-....r._-,-,-~~"~"",,,~~,",-~.~........:.w;._~_~_ _~ ~_,~~~~
<br />
<br />BUILDER COMPANY
<br />
<br />SIGNATURE STATE CERT OR REGIST .
<br />
<br />************** ***************************************~.***********
<br />
<br />
<br />COMPANY
<br />
<br />([)&/7)~A)
<br />
<br />ELECTRICIAN
<br />
<br />SIGNATURE
<br />
<br />x
<br />"
<br />
<br />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 />COMPANY
<br />
<br />SIGNATURE
<br />
<br />STATE CERT OR REGIST #
<br />
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