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<br />CIrr'Y OF ZEPHYRHILLS PERMIT APPLICATION GU <br />c@I'LDING DEPARTMENT 5335 B~H st, Zephyrhills, FL 33542 <br />~ 813-780-0020 FAX: 813-780-0021 ~ -,) 0/- <br />06":1 ' DATE RECEIVED or< l{ - " ':f <br /> <br />, PHONE CONTACT FOR PERHITTING II nda g., ~ J <br /> <br />OWNER'S NAME L)S.fh14e (1~ Lffi~r <br />JOB ADDRESS (!_~ (g ~ <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PHONE 81 ~ -'1IfQ - ~5'77 <br /> <br /> <br />& - :?- /- () t.) <br /> <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />D REPAIR <br /> <br />o INSTALL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Oft OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM <br />D OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br /> <br />S At E~ '~H1l F-r?, <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!fJ~J~ . . LJJi..~ <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ,/ ~ Id.~ri~ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION." tJ.1B'" <br /> <br />-1AP ~. <br />PERMITS REQUESTED .. . ~ <br />VALUATION OF TOTAL CONS~ON . <br /> <br />~ILDING <br />~ECTRICAL <br /> <br />$ <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF'MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: D 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 /> <br />BUILDER COMPANY <br />SIGNA;URE u./" .' STATE CERT OR REGIST # (!.Jj~. I'd.. ,1 'd. 4:Jt.p <br /> <br /> <br />***************..**.***.******.********.***~************..****.***~.~ <br /> <br /> <br />ELECTRICI~ C. { ~( COMPANY !<fll?::' Fkc-f1?//!..-~ <br />SIGNATURE-L~~I S ~ STATE CERT OR REGIST * Fe. 13",,2.34\ <br /> <br /> <br />****************************************************************** <br /> <br />PLUMBER <br />SIGNATURE~ <br /> <br />,::./ r~ -"" <br />~ UL><..>-c:J~...ne c.y <br /> <br />COMPANY A,;)/1Ue &/1 / ef}1ct. rL- <br />STATE CERT OR REGIST jf t2F~ tlLll7tL/ <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 />