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<br />CI~Y OF ZEPHYRHILLS PERM~T A~~~~~^~~un <br />BU~LDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />, 813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />/ IJ-- - :2:Z -0 j- <br />. <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME CA/J.d"/eJ ~/J.t2/SD".J <br />JOB ADDRESS . /1)'-1,;)4 d;/J/e,. t7ak J ~, <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # t13 ~ (p d I (})/;)O ODooo c>~t <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[JADDITION <br /> <br />[JALTERATION ~EPAIR <br />o DEMOLISH <br /> <br />[J INSTALL <br /> <br />o MOVE <br /> <br />[JMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D* OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HO~ <br />DOTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APfROVAL <br />DESCRIPTION OF WORK e.q<.J4.<- C/O (I) 21('2... -b ~ Cn~~~~,.:)~ u~l7 <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 />[] BUILDING <br /> <br />$ <br /> <br />/ j.. ~U ./ <br />PERMITS REQUESTED (.5 // <br /> <br />VALUATION OF TOTAL CONSTRUCTI'o'N ~ <br /> <br />[] ELECTRICAL <br />[] PLUMBING <br />~MECHANICAL <br />D GAS D ROOFING <br /> <br />AMP SERVICE <br /> <br />[] Progress Energy [] <br /> <br />W.R.E.C. <br /> <br />~ <br /> <br />93~- <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[J OTHER <br /> <br />D SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES [J NO <br /> <br />~~, .-: r..~~ ~"____-=-___=~: ____.c .~==___ - , --___ ...:. ::. -.:. _L . ~~ ..._~=~~--- -... ...~ -~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <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 />******************************;1********************* <br />COMPANY ~n,4,i SvCJ . <br /> <br />STATE CERT OR REGIST *' t!4co,919'tf"? <br />- <br /> <br />********************************************~****~*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br />