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<br />II <br /> <br />CITY IOF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDI~G DEPARTMENT 5335 aft St, Zephyrhills, FL 33542 <br />! 813-780-0020 FAX: 813-780-0021 <br />DATE RECE IVED <br /> <br />//- /--0 'J <br /> <br />PHONE CONTACT FOR PERMITTING ~ j .3 - 7 Z';)' - O~V <br /> <br />JOB ADDRESS <br /> <br /> <br />5 <br /> <br />OWNER'S NAME <br /> <br />PHONE l300/.- <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 * <br />WORK PROPSED: DNEW <br />. DSIGN <br /> <br />, <br /> <br />o ADDITION <br />, 0 MOVE <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USE: DSGL FAMILY WELLING <br />DCOMMERCIAL i <br />CJ RESTAURANT <br />DESCRIPTION OF WORK - ID:> I c::..... <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0* OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br /> <br />& HEALTH DEPARTMENT APPROVAL <br />e.-~ <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PL <br />COMMERCIAL: ATTACH (3) SE <br />IF SIGN PERMIT ONLY (2) S <br />PROPERTY SUR <br /> <br />T PLANS & (2) SETS OF BUILDING PLANS <br />S OF BUILDING PLANS & (1) SET ENERGY <br />1S OF ENGINEERED PLANS REQUIRED. <br />Y REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING $ <br />o ELECTRICAL <br /> <br /> <br />PERMITS REQUESTED <br />~u <br />VALUATION OF TOTAL CONSTRUCTIO <br /> <br /> <br />i <br />/ <br />I <br />/ <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />0, PLUMBING <br />o MECHANICAL $ <br />o GAS '~FING 0 SPECI <br /> <br />TY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 /> <br /> <br />g~q;.g~.~~.~~~~.~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />I <br />***************.************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br /> <br />***************t************************************************** <br />! <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br /> <br />************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />OTHER <br /> <br />1*****************************~****************** <br /> <br /> <br />o F L COMPANY ~5ch~ cJ< e>{;)-P. '<-b <br />STATE CERT OR REGIST # {l. (l{2 05 g 13 if <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br />