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<br />CIrry OF ZEPHYRHILLS PERML'!' Al'l'.LI.1l.;,ft.'J.'.LU1'f <br />BUI'LDING DEPARTMENT 5335 8ra st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />'~ /"') I. . <br />,- I ' \ ',-.{, <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S N^"E:>=-7%<f.t4tC)/ <-7/1 <br />JOB ADDRESS _)..0 ~ f i:1'J'~ kJJ <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID it G>3-:J.6-t'l) -6/&'"rn .......~ <br /> <br />PHONE <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: []SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERAT ION <br /> <br />~EPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />o it OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK #~P. j:3<J~,;/j;.D ~r-e. .' <br />BUILDING SIZE 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 />o BUILDING <br /> <br />$ )S-ZO <<2- <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF'MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />~FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES .AS(NO <br /> <br />i~-''''''''-T;''-'- -- -~- - ------~- 'O~ - -, - ;----~'--;---------- ------ -- , - -- , - - -- --,----':--;---"-_\'":";'~,, <br />~l ~ I I IF' I ~ - ' ) 'J I I' I,ll' <br />-~ --~=-----------~ -----.----.- -------- ---- -------~--~~ <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST it <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 i <br />