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<br />CITY OF ZEPHYRHILLS PERMIT A~~L~LA~~U~ <br />BUILDING DEPARTMENT 5335 STH st, Zephyrhi11s, FL 33542 <br />S13-7S0-0020 FAX:S13-7S0-0021 <br /> <br />DATE RECEIVED <br />PHONE CONTACT FOR PERMITTING i<7 ~r, ~cr; p- <br /> <br />" <br /> <br />JOB ADDRESS J 'f5;}t) <br /> <br />OA K,f RI t: <br />jtt.ttjV'6 ~ ~.cJ <br /> <br />Ih~ <br /> <br />PHONE ~qS,~q99 t <br />)" T ~~ <br /> <br />OWNER'S NAME {YI A T'i:.. ';)'-Z:C <br /> <br />SUBDIVISION <br />ooC;C (OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL 10 # ';;)4 -;.~G., - &-/-O<:'JOO"'" DojO() <br /> <br />WORK PROPSED: ~ CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />PERMITS REQUESTED <br /> <br /> <br />FORMS. <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 />q1~J <br /> <br />o BUILDING <br /> <br />$ /'C;LXJ",eJ 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 AREAD 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 />~~ *********j*******************************~******************* <br /> <br />OTHER/l 05L,'/~ ~C:;"h~ COMPANY toZy~//O (?c7h~ <br />;(l <br />r ~ <br />SIGNATURE J _ <br /> <br />"~~ <br />/(:.. ... .(- - <br />, <br /> <br />STATE CERT OR REGIST # <br /> <br />.- <br /> <br />"2 -oIfp..e)' <br />)...I'~ <br />