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<br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />. <br /> <br />DATE RECE IVED <br /> <br />3/ d- rl-. J.cta. <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: 0 SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0* OF UNITS <br /> <br />o MOBILE HOME <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br /> <br />tJ...fL <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPR <br />DESCRIPTION OF WORK~rt4-e'-T{ ci r- ~~ ~ <br /> <br />eJ" BUnDING <br />~ECTRICAL <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. A t'1:~ ~L {N~ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. - I II {I <br />rl~ ,/ ~..)'C\.~~ <br /> <br />~PERMITS REQUESTED 1\1l7.Jz.D ' ~V (~/~.i..JT) <br /> <br />..6:0 .. . VALUATION OF TOTAL CONSTR ONot- ])1~f:J <br />_~ M~JN - <br />~OO AMP SERVICE J,t!J Progre W.R.E.C. <br />~l ~ "e.-G0-S:.e-r cJ Ie.. e- <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF M <br /> <br /> <br />o PLUl1BING <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 AREAD YES 0 NO <br /> <br /> <br />SIGNl~TUR <br /> <br />COMPANY <br />370, ~(ATE CERT OR REGIST * egtY-/~07/y <br /> <br />BUILDER <br /> <br /> <br />SIGNl~TURE' <br /> <br />***************************************************** <br /> <br /> <br />SS:~OMPANy\'\\~bo~ . <br />STATE CERT OR REGIST * E~ I.sOO 13cf:3 <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br /> <br />. <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br />,......,.............-... ......... A <br /> <br /> <br />,1A; ~ ~~ <br /> <br />...........__ ,__..~,....1t4""'" .......,. ,"'. .~".~ . <br />J *****************~*********************** <br /> <br />~ ' . ~) <br />OTHER ~ COMPAN <br /> <br />"HI... <br />****************~**~~~*'. <br />,:'.', - - J ,Yo. : '/~ -, " <br /> <br />~:: <br /> <br />SIGNATURE <br />