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<br />?EB!:0/20C3!?EI J4:JO ?~ <br /> <br />ZEPHYRHILLS BUILDING Fg No. 813-'7:::0-1]021 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUlLOXNG DEPARTMIlN't 5335 a'" St, l!aphy:r.:hi~lB, FL 33542 <br />B13-780-0020 FAX,813-780-0021 <br /> <br />? DC: <br /> <br />/ <br /> <br />DATE Riles IVED <br /> <br />0--1, '-t /6 Co <br /> <br />PHO~ CONTACT FOR PERMITTING <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br /> <br />PHONE --=r:l~ <br />33El1-Z- <br /> <br />PARCEL ID # <br />WORK PROPSED; DNEW CONSTRUCTION <br />DSIGN <br />PROPOSED USB~L FAMILY DWELLING <br />o Cm-lMERCIl\L <br /> <br />o ADDl'HON <br /> <br />OO~TN F'lOM PROPERTY TAX NOTICEL <br />DALTERATION 0 REPAIR ~NSTALL <br />o DEMOLISH <br /> <br />o MOVE <br /> <br />D"JULTr-FAMILY <br />o INDUSTRIAL <br /> <br />Oil OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIP'I'ION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~ POoo.\ ~rdfl, o..ft b m Sr\ Ceo, ~~ <br />~ ~' . , I?K~ <br />SQUARE FOOTAGE ~ HEIGHT <br /> <br />RESIDENTI1U,! ATTACH (2) PLOT PLANS & (2) SETS or BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS or BUILDING PLANS & (1) SET BNERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINiERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL ,NEW CONSTRUCTION. <br /> <br />BUILDING SIZE <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />I? <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Snergy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />XMECHANICAL <br /> <br />~!:tz..~ ~ ex> <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o S,PECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />d OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />8~~~f~~~:',-~- .-- ~~-~~~.~ \~~- ~ _~~~ ,- -~:-f:~ _ ~ ' ~~ r_ ~~~ '~~:.-..~:~, ~~ \;~ ~:~~~ <;;7yi/- i7~~~~~~+' <br /> <br />BUIWER <br /> <br />COMPANY <br /> <br />SIGNATORE <br /> <br />STATE CERT OR REGIST * <br /> <br />~~****~.*******~~.********~**~***.************~~~*.*~.~********~*+ <br /> <br />llUCTRICIAN <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 />SIGNATURE <br /> <br /> <br />"....**************"..*"***********~********"J':I.**~~*~*****~ ~ ~. ,- <br />, COHPANi' ' Or- \ (? J. ~,;%> ,<:..- .J..-n<:. <br /> <br />;' STATE CE:RT OR REGIST I C }rc.'.D..~ l..7...:iS <br /> <br />Mli:CWlNlCAL <br /> <br />OTlIl1R <br /> <br />COMPANY <br /> <br />SIGNl'_TURE <br /> <br />STATE CERT OR REGIST f <br />