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<br />CI~Y OF ZEPHYRHILLS PERM~T A~~~~~A~~V~ <br />BUI:LDING DEPARTMENT 5335 8u st, Zephyrhills, FJL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />~I <br /> <br />DATE RECEIVED <br /> <br />"td-I \'3/05 <br /> <br />PHONE CONTACT FOR PERMITTING <i?r3 -7~2 131=3 <br /> <br />OWNER'S NAME W t l... L. \ ~ ~ ""TC-+ ~ L-... <br />JOB ADDRESS ~"3 ?-.-Ij - \. ~ ~ S l' <br /> <br />PHONE 'I ,/ )- -'7& 8;-:L <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID '* <br />WORK PROPSED: DNEW CONSTRUCTION <br />DSIGl\I <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />J<(REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Oi OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APfROVAL <br />DESCRIPTION OF WORK ~\3t-(.....;.'J:. t:,,-s b. \' ~l.Ul?-L- (oJ;'1I<l.LL ~ n6"AA 6"1> Pv\-1LJ8L, <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 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 />'jir. ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <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 FLOO~ ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />~'-'--'----'7T--'-------- - --------. -- -- -. - - ,---~------.-.----- -'1" -.... ------- ----------:""--- <br />" \ II (' . I 1 <br />I "1 I r ' - I r ~ I ,I ' ' <br />~~_...:.:.ll__+___~____~_~_~__~._~~_~___ ----~-------~--- - --"------~-~----~- <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST '* <br /> <br />****************************************************************** <br /> <br />:::::::~ c-~) <br /> <br />COMPANY-z.. ~ ~ll..L", 'C:LE:<: 't. Sei\. U L, L C. <br />STATE CERT OR REGIST # ("""A"J6"2.... Uor <br /> <br />*****************************************************~************ <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIS'}' it <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST it <br /> <br />*************************************************~*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST it <br />