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<br />CI~Y OF ZEPHYRHILLS PERM~T A~~~~~A~~U~ <br />BUIILDING DEPARTMENT 5335 8m st, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 .... , . I c <br />DATE RECEIVED ~ ;; 7 _ 0 ') <br />Sr"':> <br />PHONE GONTACT FOR PERMITTING Cfl.o 0- - '6 K l S <br /> <br />OWNER'S NAME C ~ IA/v't',,/ c ~ <br /> <br />{],j/ <br /> <br />'" <br />PHONE 8 I ) .- 7 I) -7 9'1 g- <br /> <br />JOB ADORE S S . ~ t ~ ,~ \.,Ll /P. v't"::I V) I~-< <br />I <br /> <br />LEGAL DESCRIPTION: LOT (S) / O':J If <br /> <br />BLOCK / <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE! <br />o ALTERATION 0 REPAIR PIN STALL <br />o DEMOLISH <br /> <br />PARCEL ID 41= /s-- 2&-2/- 0020 -00100-0/00 <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 />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />/I i <br />DESCRIPTION OF WORK /-11/;9(. R~;y..?j! cJ.,C^)~ ~~./ 2~ f&.'A J,~c:. fti.w",,#, 5>,?>If"r-, <br /> <br />BUILDING SIZE <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 />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />~ECHANICAL <br />o GAS 0 ROOFING <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />~ <br /> <br />LfOOO- <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />Ii I'I~~-,~I - --~- --- -- - - -- - -,- - -- --- -- - -- - i- .- -----~ --, - - _.- -- ._- ii' ~ - - - --- I~ ~ - - -I" -,- ~-- - ~.~ ~~~~ <br />~ I' I ' . 'I <br />~~_~_~w.....~_~___.........~....;J._L._----- ---.-----...... --------- ~--- ---- -~~- ---~-~---~~_...........- <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST f <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />, <br />STATE CERT OR REGIST f <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST 41= <br /> <br />****************************************************************** <br />MECHANICAL iY~ \ I. I COMPANY /Uorf~sj~ !1( &> &/nf"r,Ll <br /> <br />SIGNATURE J r hi41/1 f 'I-ct/V\./ STATE CERT OR REGIST 41= L r1 (.0 S<i:2 J~ <br /> <br />********************************************~****~*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST 4 <br />