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<br />CITY OF ZEPHYRHILLS PERMI~ A~~L~CA~~U~ <br />BUILDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />OWNER'S <br /> <br /> <br />DATE RECEIVED <br /> <br /> <br />FOR <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 />DSIGN <br /> <br />o ADDITION DALTERATION o REPAIR OANSTALL <br />o MOVE 0 DEMOLISH <br />DMULTI-FAMILY 0# OF UNITS ~BILE HOME <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~^u-e-^," ~ <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 ENERG <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 />ORMS. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br />~~MBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy [J <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 />17':~~lr~~'~-~:~-~.'~~---'- --7 --~-~--r"'~~~~l-- ----- -- - - ~~ --- - - - --t~'-~~~r~-~I~rr:-~-;~~~;r[:~':J-~!~~~~~~:;' (- It" <br />~ ' ""1 I'..jl", ',t f 1 ,jl . 1 '0," pJ~..r .~"~,,,Jf:;!. hlt.:.:~2..Jh .,of; <br />."JIJ t '11>{"'1 J,~"I "'i-"".'~ 'I .~ ,"," .~~ 4, ,~ , t L I' t l- r".l '1"' ".f,LJ-,.jli'I~,\"",,'('~}~1.~l.,p,d~'~~x tlJ ,! <br />1I:"..........._<ol"-l:.......,~_.<1.._.~_~~...._~.oL-..._~. _.__.........~~~'-'_..... _~i~..__-=..........J. _ _ __ __ _ _ ~ ~ __ _ __ _ __ ___~---....;......J._......_~~~ .. <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />*******************************************************.k********** <br /> <br /> <br />PLUMBER~ . \ . .' COMPAN~~rlJ~Plwwb <br /> <br />SIGNATURE ~ Q o/W~. STATE CERT OR REGIST # .G.EcJ 4'J.5c;() cd--- <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 />