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<br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BU~LDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 I <br />I 813-780-0020 FAX: 813-780-0021 /0 3/ ~s <br />" DATE RECEIVED ~ <br />, . ~~~ <br />PHONE CONTACT FOR PERMITTING lei ~~- J/'1'1~ <br /> <br /> <br />IN LA-z..-"D ?~ P~fe.6 . PHONE~~- ~1--<VL/l/?J <br />ADDllESS '7 'fo'? &..4-/1 ~ vl> ~~E-1 tl-f1-JI1LNJ <br />DESCRI~IcZr t6.({{pp"R Pit) #. .:iIPt)BLOCK SUBDIVISION ' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PARCEL 10 # <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[JADDITION <br /> <br />,/'..'" <br /> <br />ffi1(LTERA T ION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[J SIGN <br />PROPOSED USE: [J SGL FAMILY DWELLING <br />~~MERCIAL <br /> <br />[JMOVE <br /> <br />[J DEMOLISH <br /> <br />[JMULTI - FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />BUILDING SIZE <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 />c=J RESTAURANT &JHEALTH DEPARTMENT APPROVAL <br />fCJ~ V V'A+-\ 0 ~1F"" , <br />~ <br />SQUARE FOOTAGE --G}- ,7 3 <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />~ILDING <br />0'JLECTRICAL <br />tr ~MBING <br />~ECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />~OJPbl> j <br />, <br /> <br />,,,./ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />'. :. <br />AMP SERVICE <br /> <br />[J Progress Energy [J <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 SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />~O <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES <br /> <br /> <br />BUILDER <br /> <br />C.e ~'~ <br />STATE CERT OR REGIST # ~/__~ .oL~~ ~ <br /> <br />SIGNATURE <br /> <br />* * * ** * * * * * * * * * ** * * * ** * * * *** * *~' ** * * * * **:9 *[\ <br /> <br /> <br />COMPANy-AcLV~~d e~ <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />SIGNATURE / <br /> <br /> <br />COMPANY <br /> <br />eJ~Jl-l~ \ov4-L <br /> <br />PLUMBER <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />,/.~ . <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************* <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />