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<br />I I <br /> <br />CITY @F ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />/ 0/;;2 ~~- <br /> <br />, <br /> <br />JOB <br /> <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PHONE <br /> <br />31to35 <br /> <br /> <br />~ Ve.. <br /> <br />L (j1 '7 i <br /> <br />LEGAL <br />PARCEL 10 # 2t./' 2&- - <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />)0 - cD/ 00 -00 <br /> <br /> <br />WORK PROPSED: <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />/ <br />dINSTALL <br /> <br />OSIGN <br />PROPOSED USE: OSGL FAMILY <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~BILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br /> <br />c=J ESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />\f\ S-e.t, L" <br /> <br />DESCRIPTION OF <br /> <br />SQGARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) <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 />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy [) <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIAL Y <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOC <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />************************************************* <br /> <br />E~CTRICIAN ~ <br />SIGNATURE iV~ /.3-.;: .L' · <br /> <br />COMPANY C-ro. Vi {iLl I <br /> <br />STATE CERT OR REGIST # <br /> <br />PLUMBER <br /> <br />***************~*k************************************************ <br /> <br /> <br />COMPANY 1~-rfc /.;; d cl <br /> <br />SIGNATURE <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />~************************************************ <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />