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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />I <br />BUI:LDING DEPARTMENT 5335 8TH St, Zephyrhills, FI, 33542 <br />I 813-780-0020 FAX~: 813~-780-~021 I /, / <br />. DATE RECEIVED~/ f; /"5 <br />VV\-4Vt.-- I <br />PHONE CONTACT FOR PERMITTING 3s ~ - <1 Co Q t <br /> <br />OWNER'S NAME ~ t>~ <br />~ S 6'7 '9~~ p., <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ~EW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />[J ADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />[JMULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[]OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />APPROVAL <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 & (I) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />[] BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br />Ii PLUMBING <br />[J MECHANICAL <br /> <br />AMP SERVICE <br /> <br />[] Progress Energy [J <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [] NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />~~7Ii-~t~,:",.."".,t1"""'1"""""'-~4~"",,""''''''''''''''''''''''''''''~-"- ~"~,,., '" ""'1 tW ."!~~~~ --~---,-- ---- - - ~ r"~'" I' 't'<..t;'t-t- - -rl'l"---+--''''~'-'''I.--" ~~""""-:."~'-"""~}"T~"'-7Tl'~:wm!jg;'F,~'1rt <br />:1'~I%~\~~!jli';~I;~;I,'.:;,:\I\':", ,~lrJ~d> \'):'~f4: It-lj~ ! ,', tl ,1~"'1 ! ' I "t It l'~ \~1~ ',/ ,JJli' 'Ill *1~l'j';;~. f:!k~;;jltr~(l,t~};:~~i{i\~ <br />1~~!2J.ilUd~jll~li;f:~>~.:~~~",~~~~:~..u-4~~~~_'_ _~__~~~L......':"~_.~I^~' ~, ". J ,1~t:.~4r;;~" <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 />PLUMBER <br /> <br />*****************************~******~********************** <br /> <br /> <br />,9,. _ (oti ,<' COMPANY 'N\-"[-"'- ~~ ~ ~. <br />-cJ~ \'IV\. ~J""'L, STATE CERT OR REGIST # _ ~ ~ Lf9lo I <br />, <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />