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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 <br />DATE RECEIVED <br /> <br />I PHONE CONTACT FOR PERMITTING <br /> <br />d3dol,.. <br /> <br />OWNER'S NAME <br /> <br />~~~ ~1:! zLU <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />-# <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # I)..-:;l(, ~l- 00:.211-0 /OQO -00' 0 <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICEl <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />OSIGN <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: []SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[]# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK .~ <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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />$ <br /> <br />7JfcOf$- <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />VAL~ATION OF TOTAL CONSTRUCTION <br /> <br />[] ELECTRICAL <br />o PLUMBING <br /> <br />AMP SERVICE <br /> <br />[] Progress Energy [] <br /> <br />W.R.E.C. <br /> <br />[] MECHANICAL $ <br />[] GAS ~OOFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />~t"'-)'-~""i:rr:rl!-'-I~ --;-.-, ,- ~-i--'-""'t- ~.,....,., -~ ..,.,..-.. _.~"" - ~ "r'l- - ~~~ .,..........~-~- -~ - ! - - ......," ,1'-1 t I" I "'"'I""" 7:-~" -;-:j-s;;~n.~~u~;~ <br />~~"II'~IJ"~'ll It; I ~I r , ~ ! 'I I t" li, ~~,,!t'tJ'-'rrit <br />.:...~~~_~~_~~~~~I___j_l..ll.2_LJ..:. _____h__~_.!__~~__ ... __ _ ___ __ ___ ~_~~......-_~.:.L-......L~~ <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 />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER k>oo~- <br />SIGNATURE .0~ <br /> <br />***************************************************************** <br /> <br /> <br />COMPANY uj~ (2fJ~ <br />STATE CERT OR REGIST '"' ere. 0$7/1./ L- <br />