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<br />~~ <br /> <br />CITY OF ZEPHYRHILLS !:'.I!i}(M.L'.L' fiCr.LI.L'-'.n.........,... <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 />~~ B~ . PHONE <br />JOB ADDRESS ~"* ~ 9 ~~ I f - --~ ~ - <br /> <br />LEGAL DESCRI PTION, LOT I S I " SLOCK ~ SUSDIVIS ION <br /> <br />OWNER'S NAME <br /> <br />PARCEL ID # <br />WORK PROPSED: ~EW CONSTRUCTION <br />o SIGN <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <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 UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />~ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />l1if>U- <) I~ 6f2- f\f~ ~)r()fr~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />fr1m- <br />HEI~J~~~~/ <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 RMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIREO FOR ALL NEW CONSTRUCTION- ~ I, 0 e" <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />ePLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION II- Ljt-f I <br />o OTHER <br />. FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <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 />SIGNATURE <br /> <br />****************************************************************** <br /> <br />02 , COMPANyM~?~~ <br />u~VV\ . <br />~ _ STATE CERT OR REGIST-. C<) c> -'1 '2>~ I <br />****************************************************************** <br /> <br />PLUMBER <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 /> <br />~.VV\. <br /> <br />~ <br />3s-~- 9~~4 <br />