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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIiLDING DEPARTMENT 53,35 8TH st, Zephyrhills, FL 33542 )) <br />I 813-780-0020 FAX: 813-780-0021 I II &/ () s <br />,I ~ DAT:&: RECEIVED . ~ <br /> <br />I PHONE CONTACT FOR~I'~~113 5 ~ - 9 ~~~ <br /> <br />, c='\ DCYtr- Cl>~ <br />~ ?~ PHONE' <br /> <br />JOB ADDRESS ;)1f/~ T ~~ s.::r <br /> <br />LEGAL DESCRI PTION: LOT (S) Q ~ ry <br /> <br />OWNER'S NAME <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ~EW CONSTRUCTION <br />Os I GN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />~ RESTAURANT & HEALTH DEPARTMENT <br /> <br />~~ <:- P/urY\h/~ +D <br /> <br />AP\?ROVAL <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 BUILDING <br /> <br />$ <br /> <br />PERMITS REQUESTED ~~~ <br />VALUATION OF TOTAL CONSTRUCTION~ ~ <br /> <br />o ELECTRICAL <br />"PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <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 />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />~';fJ{~~~-":1'rr~""""":-- ..~..~- -~"'~';-1".-..t------- ~"""--"-r-~-~"q - -~~l~- --~~~,,--.---~-~-- - ~ .. III - -." ---i .... ~ - ....~-~- ,--~r"~"-~l~-~f,Y~S:;-'-ll <br />ii' ,,' ',' "1 ",l., , I , , , ' " " ji , , .'. ~,Jf" I !t'", <br />_i..~.L~~~~.~_~~~~J.....~_..l,......--~..___.I_-",-,-"""",~ ____________--- ___ _ ___ __ ....~_~~_~_I~- ,', I' 1 <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 />PLUMBER <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br />