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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI:LDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 I I <br />DATE RECEIVED II. ~/tJS <br />f:7I:#N H~ <br />PHONE CONTACT FOR PERMITTING~-d06-5;l7~ <br /> <br />::E::RE~O~~;;M~fJ::li4 <br /> <br />PHONE 613-713-60"/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />i/-d-..b-~/ -(JOIO -()(j!::60-('JOI / <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <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 />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK Dr j"Y'e.wPr}' <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br /> PERMITS REQUESTED ~S{o{ <br />$ 5700 VALUATION OF TOTAL CONSTRUCTION -~ <br />J <br /> AMP SERVICE 0 Progress Energy 0 .C. C <br /> OF NO <br />$ VALUATION MECHANCIAL INSTALLATION <br /> o SPECIALTY 0 OTHER <br /> <br /> <br /> <br />o BUILDING <br /> <br />o ELECTRICAL <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <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 />SIGNATURE <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 />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />,,"CHANlCAL J. COMPANY <(ft." Q..(1fuA4:t/1. CnrroUt 14J<4t a:f- <br /> <br />SIGNATURE ~ .. /i).LC~ STATE CERT OR REGIST i ~ ,g' <br />o D ~ <br /> <br />*****************************************************************r~~ <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />