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<br />CITY OF ZEPHYRHILLS PERM1T A~~~~~~~~u~ <br />BUILDING DEPARTMENT 5335 8~H St, Zephyrhills, FL33542 <br />. 813-780-0020 FAX:B13-7BO-0021 <br /> <br />DATE RECEIVED <br /> <br />/2 ~~- D~- <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAMEI' ~ 4/. ~~ . . P~ONE <br /> <br />JOB ADDBESS ~ /04 r Jr#:~ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL 10' /-:;2-c:Jjp~:;;/--- 06;2/7.... 0;2&00-00/1 (OBTAIN FROM PROPERTY TAX NOTICE) <br />.. . <br /> <br />;>?/:3 - 78;1.- 8 CJOb <br />~ 335tf..2. <br />. <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br /> <br />(JADDITION <br /> <br />(JALTERATION <br /> <br />(J REPAIR <br /> <br />o INSTALL <br /> <br />(J SIGN <br /> <br />o MOVE <br /> <br />(J DEMOLISH <br /> <br />PROPOSED USE: (JSGL FAMILY DWELLING <br />(J COMMERCIAL <br /> <br />(JMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />(J. OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />,~ RE~~T;::;/H ::T:ENT.~A.PPRO:AL I ~ <br />DESCRIPTION OF WORK "d~ ~ '-" "-"-"'...J. <br />BUILDING SIZE h 5 X#-O SQUARE FOOTAGE ~;; 00 HEIGHT <br /> <br />21'/ <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 />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />(/;J- 5.3/) <br />~- <br /> <br />$ <br /> <br />~ 00 .' <br />~, 0 <br /> <br />,~- <br /> <br />\Ef BUILDING <br />o ELECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />i <br /> <br />AMP SERVICE <br /> <br />o Progress Energy [] <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br />o GAS 'tsI ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />(J OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION:~ BLOCK <br /> <br />(J FRAME <br /> <br />(J STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />~OMPANY Z/<~/ ~ <br /> <br />o~~ <br /> <br />SIGNATUR~~ P~(.~L:~;?f---- STATE CERT OR REGIST * . <br />~ ****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST . <br /> <br />*******************************************************k********** <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 />