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<br />CITY OF ZEPHYRHILLS J:'.t!i.f:(J.IIJJ.'.1' J'\.rrJ..l~,",.n...."',",'" <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX:B13-7BO-0021 <br /> <br />DA,]~E RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />a-.e ~ <br />r J'L(( - (~ -?f--- <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />/OBTAIN FROM PROPERTY. TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />[J REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNI'fS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM! <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />D RESTAU':f9' . HEALTH DEPARTMENT APPROVAL <br /> <br />~b "tf- <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />/ <br />/.:4 ~ \) <br />$ .J.lAiJUATI ON 0 F <br />------ . <br />~ ~ AMP SERVICE <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />TOTAL CONSTRUCTION <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C, <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 AREAO YES 0 NO <br /> <br /> <br />BUILDER <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 />****************************************************'k************* <br /> <br />SIGNATURE <br /> <br />().., ~l~ '\ n \-J." rJI COMPANY <br /> <br />. J ()~ \'; l )) STATE CERT OR REGIST # <br />0, ("\. /'v <br />***********t)*~*~~~*******~************************************* <br />VJ ~I COMPANY <br /> <br />~~~ STATE CERT OR REGIST # <br /> <br />********************J******************************~************* <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />