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<br />,. <br /> <br />CI~Y OF ZEPHYRHILLS PERM~T A~~~~~a~~u~ <br />BUI:LDING DEPARTMENT 5335 aTH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 ._ 1._ I_r- <br />DATE RECEIvED ~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME !;e < L",.." ~ ,lr 7) PHONE ? /3. ' lJ'~ ~ (. Y' /7 <br />JOB ADDRESS 57~(' lJ:'7/.-n Sf.. 7;~~ /"'n~ 10///;"'" M #~:z -e.~J,rA, iA FI. ~ l' )~, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # / ~ - 2' ' l../- ,?()CJ(J - ~/~~ - f? C)&>o <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />ElREPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Oft OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />DESCRIPTION OF WORK rr--I/A~~ I~.f. ~,tJI.e Ad'" ,5"''''''v'/~~ ,{;,-f'!"'''C{' -k /~()' S ~/IH~ ~ <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 />o BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL /150 AMP SERVICE ~progress Energy 0 W.R.E.C. <br />o PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <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 0 NO <br /> <br />~'- '1"7"'--lr'-~ .-~.. ,--- .---- -,-.---... . :----~~---. .-- ---- --'I' - ,. ..... - -,. -. __._.n_.'~-., <br /> <br />, I I r J , I : f 'I , 11, <br />I, r ' I I ' I ' I <br />-..............~_>-'-~_~_~__~J..._~_~_~_.~______~____~------~-- - -~ ~-~~~~-~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE ~).. /AJP~ <br /> <br />COMPANY /9;#/.;. k/~~.J,-/~ <br />STATE CERT OR REGIST # rE'C! -t:)OO/zttf <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 />********************************************~****i*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br />