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<br />II . <br /> <br />CITY O~ ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING tEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 /Cr:~~ ~ r <br />I DATE RECE IVED l2.. 4--f. L <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br /> <br />PHONE ;~ 13 - 7 q 0 - fD { i J. <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: <br /> <br />I <br /> <br />SUBDIVISION <br /> <br />'2 e.p h 'fj;, Ii ei '} ~ "+s. <br />( ~- -f -dd.., h tJ V] <br /> <br />PARCEL 10 # <br /> <br />PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />o ALTERAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: 0 SGL FAMILY <br />o COMMERCIAL <br /> <br />BUILDING SIZE <br /> <br />CJR <br />Ere <br />g- Ylo <br /> <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 />& HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />St-ee I <br /> <br />:Shed <br /> <br />SQUARE FOOTAGE <br /> <br />, <br />8'0 <br /> <br />HEIGHT <br /> <br />/o~ <br /> <br />RESIDENTIAL: ATTACH {2} PLOT WLANS & {2} SETS OF BUILDING PLANS & {l} SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS $F BUILDING PLANS & (I) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SET 'OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~ BUILDING <br /> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLA'rION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALT <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />~ STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES 0"'N0 <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />&:d <br /> <br />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 <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />, <br /> <br />STATE CERT OR REGIST # <br /> <br />**************** ~*********************************************** <br />, <br /> <br />OTHER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br />