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<br />~/F'--;' "h" <br />. (5o~?j <br /> <br />CIrry OF ZEPHYRHILLS PERMJ.',L' A.t'.t'.LI.Ll.,;,f\"J:..LV1't <br />BU~LDING DEPARTMENT 5335 8TH st, Zephyrhills, ~L 33542 <br />813-780-0020 FAX: 813-780-0021 I <br />DATE RECEIVED \2/2'8' 0'S <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />.'l <br /> <br />(7 'u? ~ <br />.( <br />. ~o '5~-;t. <br /> <br />L-l?Q <br /> <br />(-fA Jfr.c-eJ- <br /> <br />PHONE (if 3/ '7[/-1 iff <br />('t!tf (~,-r,1 Y't; - , t ~~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I D jf: /1-:< '" - ~ /- 0 lJl 0 - / f' 0 D "- 0/90 IOBTAIN FROM PROPERTY. TAX NOTICE I <br />WORK PROPSED: ONEW CONSTRUCTION ~DITION o ALTERATION 0 REPAIR 0 INSTALL <br /> <br /> OSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: ~L FAMILY DWELLING OMULTI-FAMILY OJ OF UNITS o MOBILE HO~ <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br /> <br />f~d-v~ ~ Jec~ <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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~UILDIi;JG <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ F;DO,OO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <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 /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST J <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 /> <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 />