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<br />CITY OF ZEPHYRHILLS .I:'~.t(MJ.'.1' .tt.rrLI.I..'--.&'U.."'" <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />DATE RECEIVED L\ .... ~6"CS- <br />PERMITTING ,?, ~ - ~-m <br /> <br />OWNER'S NAME ~ ~~e.,~ C ~(X'>6 \ , '> \'" <br />JOB ADDRESS 5 5 0 ~ d-.~t'"A ~ ~. <br />LEGAL DESCRIPTION: LOT(S) \ d... . BLOCK SUBDIVISION \\0.7 ~\ ~"C.~""'~ <br />PARCEL ID # \~. ~~. ~_\ .....6C"lO -DD60C "'611..~RTATN FROM PROPERTY TAX NOTTCE) <br /> <br />PHONE '\" ~ . ~ ~ '3 ~ <br />. <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />OSIGN <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 HOM] <br />J( OTHER <br /> <br />c:J RESTAURANT <br />DESCRIPTION OF WORK l?~ ~ ~().. "b \e.. <br />BUILDING SIZE }!) l X. \ 'd.\ <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />\.0d ~ Y)~~ <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />" <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 ENER~Y FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ~ ~ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~ '::_:~../ /",........--"-- <br /> <br /> <br />PERMITS REQUESTED ----/;; q I~ <br />fJ BUILDING Sl-.c~ $~ VALUATION OF TOTAL CONSTRUCTION ~ ~ <br /> <br /> <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E,C. <br /> <br />$ <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 />Q ,L <br />FINISHED FLOOR ELEVATIONS ~ <br /> <br />% FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES )\rNO <br /> <br /> <br />BUILDER ~ <br /> <br />SIGNATURE ~~~~~~~ <br /> <br />COMPANY~ <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 />