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<br />CIrry OF ZEPHYRHILLS PERMJ.'!' A1"1"l...L\,,;,A..J:.1.U~ <br />BUnDING DEPARTMENT 5335 8TH st, Zephyrhills, F:L 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />1- If) ~O? <br />, <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ~t3,~ <br />JOB ADDREss-36> ,2;z-- 51 <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />4~~- eo ~ ~~C <br />65 f-' <br /> <br />PHONE <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 it <br />WORK PROPSED: ~W CONSTRUCTION <br />o SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE} <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Dit OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE Hm <br />DOTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />DESCRIPTION OF WORK ~~~/ ffllJ::J6?1A./J 3C1d(~ y ~lbfe.c>(;/6 <br />, <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 />i <br />, <br />PERMITS REQUESTED \ <br /> <br /> <br />D BUILDING <br /> <br />$ <br /> <br />Cm().~ <br />trOo <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />D PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />~ogress Energy D <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 AREAD YES 0 NO <br /> <br />r--:~-"I:"-"--~,~- -,.-.-i-.----~--....- --...... 1------.-.------;-------.-------11 ~ -. -~-I~, ~ ~ -~- - 1"1 ~~-~-~:~.~~-~-:.I <br />K 1 ' I I r I I <br />_.......,.;.L.j_..J..:.........~~__~ ~il_~_~~~____________)__~_~___ _ _____ _~____~ _ __ _ - - -- ___~__~_~~_~-.O.- ' <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST it <br /> <br />ELECTRICI€\ ~ J / n <br />SIGNATURE ~:;:;::"./c;~if <!. STATE CERT OR REGIST I GL.-?JtkJ..2!>70 <br /> <br /> <br />****************************************************************** <br /> <br />****************************************************************** <br /> <br />COMPANY fTvd a::5? Bc~,~ <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 REGrST # <br /> <br />********************************************~****~*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST . <br />