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<br />'. <br /> <br />II <br /> <br />CITY ot ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING fEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 <br />I <br />DATE RECEIVED <br /> <br />/LJ/)1//125- <br />I I <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAM "" <br /> <br /> <br />PHONE J'13j 7 ff~- c2S'7;Z <br /> <br />JOB ADDRESS <br /> <br />, / <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br /> <br />WORK PROPSED: [JNEW CONSTRUCT ON <br />[] SIGN <br /> <br />[JADDITION <br />[] MOVE <br /> <br />[JALTERATION <br /> <br />o REPAIR <br /> <br />[J INSTALL <br /> <br />[] DEMOLISH <br /> <br />PROPOSED USE: [J SGL FAMILY DW LLING <br />o COMMERCIAL <br /> <br />DMULTI - FAMIL Y <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 />D <br />LIL YI . <br /> <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />if <br /> <br /> <br />- .6- <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT <br />COMMERCIAL: ATTACH (3) SETS <br />IF SIGN PERMIT ONLY (2) SET <br />PROPERTY SURVEY <br /> <br />PLANS & (2) SETS OF BUILDING PLANS <br />OF BUILDING PLANS & (1) SET ENERGY <br />OF ENGINEERED PLANS REQUIRED. <br />REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />--:if )og1 <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br /> <br />:2, 01 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy [J <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />[J STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************** <br /> <br />~*********************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************** <br /> <br />************************************************ <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />* * * * ** * * * * * * * * * *, *i* ** * * * * * * * * * * * * * * * * ** * * * * * * * ** * * * * * * * ** * * * ** * * * <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />