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<br />CI~Y OF ZEPHYRHILLS PERM~~ A~~~L~~,~~V~ <br />BUI:LDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DA'I~E RECEIVED <br /> <br />\2 fILl /o~ <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />~t)n 0. E L-EDI.VOP <br />( <br /> <br />PHONE: 't; \"3 -, <& % 35, L\- <br /> <br />JOB ADDRESS 3<::1.\33 OL-\) .m, ~ \ L-n. <br />() " t:(:;CJOo...... t> '$ ~o <br />LEGAL DESCRIPTION: LOT(S) 12...-2..b-ZI-O/t1BLOCK , SUBDIVISION <br /> <br />PARCEL ID '* id-~Lo--d \ ~ 0\00- 0000'0.0"330 (OBTAIN FROM PROPERTY TAX NOTICEl <br />WORK PROPSED: ~EW CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR 0 INSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~S~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI -FAMILY <br />o INDUSTRIAL <br /> <br />Of OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOt' <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br />p Q ( V ~LU f1 <.( <br /> <br />BUILDING SIZE <br /> <br />/ "00 <br /> <br />s;: r. <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 />o BUILDING <br /> <br />$ ~OO,<50 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <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 />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~~ <br /> <br />'~-'-'-T~ -'--,--~'-'- --' ----' ---'---.-, . , '[----~'-------------'- - 1-- - - - - ,- - ----. - --~-'--:'"'---, <br /> <br />, " ' " ' . - ' , ' I' 'I ,- <br />~-~-~-~ ~~---'----'-,-,--_,,,-,_,----------------~--'--- -~- --,~---~----,~.:... <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />~~ <br /> <br />SIGNATURE <br /> <br /> <br />STATE CERT OR REGIST i <br /> <br />***************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />, <br />STATE CERT OR REGIST i <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 i <br />