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<br />CITY OF ZEPHYRHILLS PERMIT A~~~~L~~~U~ <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />. 813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING ('if (~) qOIl_ lor'!> ,1.-/ <br /> <br />OWNER'S NAME <br /> <br />A~c- <br />CSq~"?> <br /> <br />.(\ . -:-.. <br />~, "l... L" . ..l..: '^ (. <br />. <br /> <br />PHONE <br /> <br />(~\"~') I?." 03ot~ <br /> <br />JOB ADDRESS <br /> <br />a....~~ ~\uJ. <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 />WORK PROPSED: ONEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />&ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: 0 SGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />OMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />0# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOME <br />D OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~\M. {It. f.::\,...cH.... ~b \.~ , ').0 I ');.\.lC) \J <br /> <br />60 A. <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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> PERMITS REQUESTED <br />o BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL bo AMP SERVICE ~ogress Energy D W.R.E.C. <br />0 PLUMBING <br />D MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />D GAS D ROOFING D SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE ~~ ~~ <br /> <br />COMPANyJ4l..e.~~ <br /> <br />G:\,,- c..t \I ~ c-..l 'rIA.( . <br />r <br /> <br />STATE CERT OR REGIST # <br /> <br />l'30011~3 <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 <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />