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<br />. <br /> <br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUIrING DEPARTMENT 5335 8~H st, Zephyrhills, FL 3:3542 <br />813-780-0020 FAX: 813-780-0021 <br />,1 DATE RECE IVED I ~ -(0 - at:) <br /> <br />PHONE CONTACT FOR PEBMIT'I"ING <br /> <br />OWNER'S NAME <br /> <br />eftlc,~/jJ /j-/ <br />J <S' 3 7 jJ (J ('I fe <br />, / <br />LEGAL DESCRIPTION: LOT(S) ~J() <br /> <br />PHONE <br /> <br />_ 7/7 /') ) 3 2 <br /> <br />JOB ADDRESS <br /> <br />,<Jjlr <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />c/J1c"~ /0 ) f <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE\ <br /> <br />PARCEL ID # <br />WORK PROPSED: DNEW CONSTRUCTION <br />DSIGN <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />o ADDITION <br />DMOVE <br /> <br />o ALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />D DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />O. OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APfROVAL <br /> <br />~ /;; /J. <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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br /> PERMITS REQUESTED <br />o BUILDING $ ,J L( :;;-U VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />D PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <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 AREAO YES 0 NO <br /> <br /> <br />COMPANY <br /> <br />BUIIDER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br /> <br />************************************************~***************** <br /> <br />COMPANY <br /> <br />PLUMBER <br /> <br />STATE CERT OR ~EGIST # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />MECHANICAL <br /> <br />STATE CERT OR REGIST * <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />()ll- <br /> <br />COMPANY <br /> <br />77/S0rJ <br />, <br /> <br />{oAlCVG-fc <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br />