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<br />CITY OF ZEPHYRHILLS PERMI'!' AJ:lJ:li..l.L.:a:J:.l.U.L'..t <br />BUILDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE; RECEIVED <br /> <br />PHONE GONTACT FOR PERMI~JI~G SI3 'ID- q s;;i) <br />~ Yvln \or! ." '~\ Ick. /l/orfhr:0s-YJ <br />OWNER'S NAM~~~~~;~(lCCiu{LS LLC ' PHONE ;1;3 7g:5 751X' <br />JOB ADDRESS ' 3q~ L/ I V~cvvnCt c12Q./1,~Z-i1l /15 335C! /- <br />LEGAL DESCRIPTION: LOT(S) ,fl.tJl BLOCK SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />(OBTAIN FRO~I PROPERTY, TAX NOTICE) <br /> <br />DSIGN <br />PROPOSED USE: OSGL FAMILY bWELLING <br />o COMMERCIAL <br /> <br />o ADDITION DALTERATION o REPAIR [Q,ANSTALL <br />o MOVE 0 DEMOLISH <br />OMULTI-FAMILY 0# OF UNITS ~BILE HOME <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~ ~ l~~-*~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL ,NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />4'J~ I <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />~MBING <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 <br />o OTHER <br /> <br />$ <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 AREAD YES 0 NO <br /> <br />7'~~"';~:'~""--~--;---'~-"---~'--:-~ -.--~~-----.~.- "'........,-- ----- .~- -- ~-- ~-- - -- - --~~. - --....;-~~... --r.--:--i.;l"""'-;:""f""''T7'~~~!t~ 't . '" <br />~" ' , ".',~.1 ,[ "'" ' "',, ' , :' '1 ' ~ ,"'" 'e'," '',,1" (:~" ]ll;1!!\~~~)~1 '~~:'Ii:~I~' ~" <br />'~~"~u~~~_1::~~L.fu-:-"_...~~'~l',""._~~...L_~,,,~,__,i.L:.-l.~......:.-1.1 _ _ _~ ____ __ ~__ _ _ _. __ ~_ _~ ,,~~~~:tt,~i)~~hl::""~t!~ d!li!.'}7i',.f; (f ~, <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 />PLUMBER <br /> <br />*** * ** ** * * * * * ** * * * * * * ** ** * ** * * *** ** ** ** ** *** ** ******* * * ) * **-'t * ** * * *-- rII <br /> <br /> <br />f\ --'. ,. COHPANY 'JJ~S VJ~ <br />\d\~Q '- WtGt1::t1/Vt.D STATE CERT OR REGIST # ClF'C ) Lf~;=; CoD:) <br /> <br />SIGNATURE <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 />