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<br />I I <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI!LDIN(i; DEPARTMENT 5335 8TH st, Zephyrhills, FL, 33542 <br />I 813-780-0020 FAX: 813-780-0021 ;~~,~Ji <br />" DATE RECE lVED fI:/..::3.- <br />! <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME /< - );!cf.4~j <br />JOB ADDRESS 7y d;;) G <br /> <br /> <br />C-!/:-ec7 ~rJ1llv/< PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: DNEW CONSTRU TION <br />o SIGN <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />o COMMERCIAL <br /> <br />rWELLING <br /> <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />5~ ~ ,30' <br /> <br />DMULTI-FAMILY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />PROPOSED USE: DSGL FAMILY <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />BUILDING SIZE <br /> <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PL <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 />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIA TY <br /> <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 AREAD YES 0 NO <br /> <br />1~m::'';'''i\';;-~~''?''71 T" --~""~-~'-~=J~'~' ~_"W" '" 7'-'-"" ,~-..~-,- - - ,- ,"""" " --- ..--;, - T' "~__II ," --~;-""-";-"'~-;"=:-,:I",:lm'7'''~7~w1!1'~ <br />L,'jr~~ii,~t,'l't~'I{~\I(~ '~j'r 'J1r? j. I)" '\,1 ~~iij' (I', i ':{ l' I ,/1l'1'1~ l./~ ,",1 ~,"ll 'l'I'r1'lt fl:';'t~, 'I ql~1Yt1Jglllf::~ <br />J1b[~~.:i~lLliL~~~~~~I::!.lt~:J,~I-=~~~~t,.:....,~~~_~__~_~~__~~,;.--':',,:'~.:~ I I,"" "II ,r>' ~!_f'{"J'r,~:~/i;t <br /> <br />BUILDER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />*************** ************************************************** <br /> <br />ELECTRICIAN COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST It <br /> <br />*************** ************************************************** <br /> <br />PLUMBER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST It <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />cnr::1\lATTlRF. <br /> <br />STATE CERT OR REGISTIt <br />