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<br />CITY OF ZEPHYRHILLS PERMIT APJ:'LH.';A'J~~U.N <br />BUILDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />JOB ADDRESS <br /> <br />DATE: RECEIVED <br /> <br />PHONE QONTACT FOR PERMI~;TING Sri 7&J-Pt5Jl5 <br />. /7,tE!\})rfh Yk.p <br />,~~{~kc ~~ ~~ C, PHONE. 7/3' 7<83 "7S/ SJ <br />q g . J QSc; ~/l1t ~~L <br />. I <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />(OBTAIN FROH PROPERTY.TAX NOTICE) <br /> <br />OSIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />~TALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY bWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~~LE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <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 ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />l/Ll q1 <br />,~ -V <br /> <br />D BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o E/TRICAL <br />qA"LUMBING <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 />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br />il'.....,..,.....-r;..-,.",..,...........,.....--..~-t...- H_ ~-----~~~-.~._---.....- .--,-~..~- - --- - --- - -~~, --,.~--~_.....".H~--..----~t---:..~,-l:r;;r;.,..~~t~r~ <br />~:., P:':',,:!, " ' \ '" )1 ,.,', 'pR,l~" [~', l ~'1lJ"~:li;;f.\ <br />'411 ~~ ,I i\':' !.... "', 'I 1, \ ~ "t;~ k f ,I T ' ';"H~'t..~. "l:.d...~"jl';Lf;.:ill ~E!r~~l <br />l..ic.J..I"'....L1......J1~.......... _~_..._l.L.:>Jil,._ _......l..l...~...._H~.. _____~....,A..._........._~_..~._.....t_~__o.l ___ _ _ _ ~ _ _ __ __ __ _ __ - -- -....+ --1....._...>.~d~..~ ~ <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 />*******************************************************1*********\ <br /> <br /> <br />PLUMBER . ~ . ~ COMPANY PfA1Mld) ,{,J ~ <br />SIGNATURE--kjtCfJ)lt...CLLl./0~ STATE CERT OR REGIST # {}FC 11/~500d- <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 />