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<br />I <br />CITY F ZEPHYRHILLS PERMIT APPLICATION <br />BUILDIN DEPARTMENT 5335 8TH St, Zephyrhills, FI. 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />DSIGN <br />PROPOSED USE: DSGL FAMILY <br />o COMMERCIAL <br /> <br /> <br />e <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS 6/ <br /> <br />"" <br /> <br />LEGAL DESCRIPTION: <br /> <br />PARCEL ID # <br /> <br />BLOCK SUBDIVISION <br />- 00000 - 03 ffo <br /> <br /> <br />WORK PROPSED: <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />,) ~ I~ <br /> <br /> <br />c"v <br /> <br />1~\' <br /> <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PL T PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SE S OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) S TS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURV Y REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />o GAS <br /> <br /> <br />o ROOFING <br /> <br />AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br /> ~ <br />$ VALUATION OF MECHANCIAL INSTALLATION ~O3 <br /> 1\ _ <br />0 OTHER <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />TYPE OF CONSTRUCTION: 0 BLO <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 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 />OTHER <br /> <br /> <br />- <br /> <br />COMPANY S ( (; fff3L9,C It. t-t.....a, t..... ~'I! It 7 <br />STATE CERT OR REGIST '" (( ( {j )-7 Jr 7 <br />, , <br /> <br />SIGNATUR <br />