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<br />CITY OF ZEPHYRHILLS PE.HM.l'~' .R.t".t".LI..u....n.a..'-'.... <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME t I (7~ ALp f ~ (/0 rlrD () \'e i\ PHONE <br />JOB ADDRESS ,'Lr(J .3 / /:; 'tt. -c.:1, Z e rh ll-- A , (/, , (' / <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />613'~ 7/5- /1~ 7 <br />:;s ")5iL:L <br />f <br /> <br />PARCEL 10 # <br /> <br />{OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />IBil:E~AIR <br /> <br />o INSTALL <br /> <br />OSIGN <br />PROPOSED USE: ET:SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />;VCr Ij,J Roo ~I <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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ (~OO, cc) <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 />o GAS ~OFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 0 NO <br /> <br />_1i~--"~~~'"~-"""'~-""'rrq-----------1-....."..,~--:r-'=.~-~"""'cr.;;.;::r'~mrnm <br />fuL~jli!m~ili~~\ji'~I~~~rnHl~1f~f;~m~;l~l.f~~~llllb ~~ Ilk H~l ;IIUr~'I'.j 11'I1:i 'Ib ;,I;,,~~ ) II \ ~ \'~J' .11,:',: 'I i " i' ;ji " , '0 Ii I Ii: I, rf.:i,~4i'i~ ei" I 'I"' ~;i,~W4;"hlt,;\" ~~[~:,~~;Witr5~,ij~'1Ji~~'" ~ <br />~~_~i!liI~~~~L_-__--- _ ____________ ::,',,1, 'r'1I" ,1, "I'.Jr'r I J1;1f),I'" I I:!' I '":',' ":",,"'T'rn't,'il\~1 ",~'i:'Elb <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />/~ ~1' .L/Zi ~/" 14'</4'-"#/ <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 />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />