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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TK St, Zephyrhills, FL 33542 <br />813-780-0020 l!'AX: 813-780-0021 j-2L/ -0 ~ <br />DATE RECE IVED - <br /> <br />PHONE GONTACT FOR PERMITTING ~t3.7 ~~- StJ'/O <br />fEY'1 <br /> <br />PHONE <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />vWRK PROPSED; 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br />OALTERATION 0 REPAIR ~STALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~BILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />DESCRIPTION OF WORK . ..rrJ[l6j Je nOtYJe Se + -Ltp <br />L./2J.3) SQGJARE FOOTAGE /'128 <br /> <br />BUILDING SIZE <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 />NOC.~ <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ ~5 66Q <br /> <br />0'" <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <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 <br /> <br />o NO <br /> <br /> <br />BUILDER <br />SIGNATURE W~ ~A ~b <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />E:(.,ECTRICIAN <br />SIGNATURE P'7'" <br /> <br />COMPANY A C f <br /> <br />PLUMBER <br /> <br />/3~ <br /> <br /> <br />****************************************************************** <br /> <br /> <br />COMPANy!1-m;/eJd JYlI-IJ <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />0~/]~ <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />******************************************~********************** <br />COMPANY Cf!... <br /> <br />SIGNATURE V'7'7~tf!{)i~ <br />V <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />