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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 en St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATI!: RECB:IVED <br /> <br />,II ~/o(p <br /> <br />OWNER'S <br /> <br /> <br />FOR PlCRMITTING <br /> <br />JOE! ADDRESS <br /> <br />PHONE R/3 7?d 70?6~ <br /> <br />LEGAL DESCRIPTION: <br />PARCEL 10 , ~ <br /> <br />-- SUBDIVISION \.\)t#{~T &~--C <br />t:::J;;~ (OBTAIN FROM PROPF.RTY TAX NOTICE\ <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o SIGN <br /> <br />o ADDITION o ALTERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />OMULTI-FAMILY 0, OF UNITS o MOBILE HOME <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />PROPOSED USE: 0 SGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF won W.e::PL~C/I'1IF- C)(ff~~~ <br /> <br />ZJ&' d ~'-f' <br /> <br />BUILDING SIZE SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />o BUILDING <br />o ELECTRICAL <br />o PLOMBING <br />o MECHANICAL <br /> <br />.PERMITS REQUESTED <br />$ 7 9') .W VALUATION OF TOTAL CONSTRUCTION <br /> <br />~o c.. ~ I Po. <br />'3Ll~-S\~\~~ <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <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: 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 />SIGNATURE <br /> <br />c&&?~j~ <br /> <br /> <br />BUILD!l:R <br /> <br />--' <br /> <br />STATE CERT OR REGIST # <br /> <br />N <br />C(;-UMf3! <br /> <br />***********************************"k****************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />******************.********+*******,~****************************** <br /> <br />PLtnG!!:R <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />**********************************************************+**..*** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />*****.**********************************~-************************ <br /> <br />O'1'Hl!:R <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />