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<br />:. .. ,t <br /> <br />CIrr'Y OF ZEPHYRHILLS PERMJ.'l' A.I:'.I:'L.lL;,f\.'J:.J.Ur-. <br />BUIILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 . ~ I <br />DATE RECEIVED I' 0 lp <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />\tv\(}~ <br />t.f-~ 53 <br /> <br />~ ~ot) K <br />/7 FA .S,. <br /> <br />PHONE <br /> <br />!1)3.1RR '-.33lfd..- <br /> <br />~f hJK k'lIf <br />LEGAL DESCRIPTION: LOT(S) -1 4- d-- BLOCK d..l SUBDIVISION <br />PARCEL ID # / if - J... ~ - :2/ _ ()O/D - () d J66 -66/0 (OBTAIN FROM PROPERTY TAX NOTICEI <br /> <br />JOB ADDRESS <br /> <br />WORK PROPSED: o NEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL <br /> OSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY OJ OF UNITS o MOBILE Hm <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br /> <br />BUILDING SIZE <br /> <br />s l~ ,',J f?>~ r: K. tlt.(..e J <br />/ . <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK (~.p VY\...p ..-;\, <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 />o BUILDING $ 2.3..C:; VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />o PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 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 AREAD YES 0 NO <br /> <br />r---'~-""'--i-"""r' _..~~ ,..- --~~....---~~-~ -~~ -,..-__OM_ -~- ~~--.-----.-~~~ ----- -~--- ~ - - --- ~ - -- -- - - -,..---..... --..-.,.....,--,.-,,..-.-; <br />~,: ,I, I. I '. , " . I. . I,: I <br /> <br />_~~~______l....--'..1o~_~__...!.-__l-'-~~________._____~_~_________~_____ ___ - ~____~__~__~..._~- "I' <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />+f om e C)r-/) ft.}.(? R... <br /> <br />SIGNATURE <br /> <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 /> <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 />