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<br />CI~Y OF ZEPHYRHILLS PERMIT APPLICATION <br />BUI:LDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 l'lDIDCP <br />~; ^~l \o...~ J DATE RECEIVED ~ -- <br />.....)'~^:6 I ~ <:::{d PHONE CONTACT FOR PERMITTING '3 S Cp C1. (o6{4- <br /> <br /> <br />~.~ <br />~q4 - ~y. ~~ <br />LEGAL DESCRI PTION: LOT (S) Q. ~ Lf <br /> <br />BLOCK <br /> <br />~HONE <br /> <br />?~~ <br /> <br />S BDIVISION <br /> <br />.2-~ <br /> <br />JOB ADDRESS <br /> <br />WOVl <br />~ <br /> <br />OWNER'S NAME <br /> <br />PARCEL 10 # <br />WORK PROPSED: ~EW CONSTRUCTION <br />Os I GN <br /> <br />/OBTAIN FROM PROPERTY , TAX NOTICE\ <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />oMULTI-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 />~ RESTA~~NT & HEALTH DEPARTMENT APpROVAL <br />~ <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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />BlJILDrNG SHALL COMPLY WITH <br />ALL;~PUCABLEBUllDING <br />PERMIT S REQUESTED ELECTRICAL, PLUMBING ANn <br />MECHANICAL CODES. <br />VALMATION OF TOTAL CONSTRUCTION <br /> <br />$ <br /> <br />o BUILDING <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 />$ <br /> <br />~ cs-O~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <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 />~ID~"~~'~~~~~:.i~~~~,~~~~~~~~[~:~~-~~. ~~~~~::_~=~=-~~- ~~_ _ __n ___ __ ~_ _~___~'_~~~~~~2~~::~~ll\,~ <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 />1 ~~ <br />** * * * * * * * ** ** * * * * * * * * ** * * * * * * * * * *** ** * * * * * ** * * *** * ****~,****** ** * * *C:J I <br /> <br />SIGNATURE <br /> <br />~~.~ <br /> <br />COMPANY y")J~ ~~, <br />STATE CERT OR REGIST # 0 0 CO Y ~Co r <br /> <br />PLUMBER <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 />