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<br />CITY OF ZEPHYRHILLS PERMIT A~~~iL~~~U~ <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />. 813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />1- ~,7- iJ5~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br /><::.. ~ S50~(JE1)S <br />51 2.... - N l'-'L-~ <br />LEGAL DESCRIPTION: LOT (S) d..d- BLOCK ~ SUBDIVISION (2;lTY ~ r:: ZEP1iYR.H,I4.> <br />PARCEL ID # ll-~0-~ \- Q)O\~ - D\)'l~G-CJa~~IOBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />OWNER' S NAM~OE$5 \:2.~ <br />JOB ADDRESS 15 9 :5 a 7) >-f. <br /> <br />PHONE g; 5 ~ y? ~g -6Z~ ~ <br />33~ Y- ~ <br /> <br />WORK PROPSED: (]NEW CONSTRUCTION <br />(] SIGN <br /> <br />(] ADDITION <br /> <br />OALTERATION <br /> <br />(] REPAIR ~NSTALL <br /> <br />(] MOVE <br /> <br />(] DEMOLISH <br /> <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />(J COMMERCIAL <br /> <br />(]MULTI-FAMILY <br />(J INDUSTRIAL <br /> <br />0# OF UNITS <br />(] SWIMMING POOL <br /> <br />(] MOBILE HOME <br />(] OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />oN \~~\vE-5 <br />SQUARE FOOTAGE .5S 0 'C:) <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK ~ "E L.. ') <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. -~ <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />$ao~~ ~ ~~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />H_~UILDING <br />(] ELECTRICAL <br /> <br />" <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />(] Progress Energy (] <br /> <br />W.R.E.C, <br /> <br />o PLUMBING <br />(] MECHANICAL $ <br />o GAS A.OOFING (] SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />~HER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREA 0 YES ~ <br /> <br /> <br />BUILDER ~ ~ <br />SIGNATURE . '~ ' <br /> <br />COMPANY <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 <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />