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<br />CITY OF ZEPHYRHILLS PERMI'l' AJ:JJ:JL.LCA'l'.LU1'4 <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />.. <br /> <br />DATJt:: RECEIVED <br />PHONE CONTACT FOR PERMUTING o'C;J-'. '7~ p- <br /> <br />OWNER'S NAME (Y),q J i:. S'" :C O'A \"'C..f Rl () <br />JOB ADDRESS 3 -, ;;) 3 ~I< ~O'"VJL ~. <br /> <br />PHONE (, qs.- 999 F <br />J tJ 7 c;>.:j-b <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I D # ~ 4 - ~ (., - ~ I-ex) 00 '- Cd) oc:; <br />, I <br />WOR~ PROPSED: ~ CONSTRUCTION o ADDITION <br /> <br />()OC]CIOBTAIN FROloj PROPERTYTAX NOTICEl <br /> <br />o ALTERAT ION <br /> <br />o REPAIR <br /> <br />o INsTALL <br /> <br />OSIGN <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 HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />- <br /> <br />DESCRIPTION OF WORK ./.:?)c.5~ ~~~ _' <br />BUILDING SIZE SQUARE FOOTAGE G de) <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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br /> <br />o BUILDING <br /> <br />$ /'~[X)" t) c" <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <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 /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <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 />****************************************************************** <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 e.-..../~ ("~~ COMPANY~5CY~//O {?c/h~e, <br />r~ <br />SIGNATURE } _ <br /> <br />/-? ~ <br />/r';"(- <br />, <br /> <br />STATE CERT OR REGIST # <br /> <br />2-oII~) <br />~/-~ <br />