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<br />CI~Y OF ZEPHYRHILLS PERM~T A~~~~~AT~U~ <br />BUIILDING DEPARTMENT 5335 8TH st, Zephyrhills, B~ 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />- " } <br />1- /'~--Vft;; <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />~\ ,;) /).}/ t,t ,2 <br />11''- ,! ......... <br /> <br />S~ ,)- (; c(. <br /> <br />) I ,_ ./'f\ <br />(, L~e I~ <br />I ') c.J-- <br />()\ .J l- <br /> <br />PHONE '78- f,' /~ (1 D <br /> <br />, <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />("7PiRC'EL 10 it -~ I/-;J i -.:J I-V () j(.) - / q 'tti{)'" C I ~- J (OBTAIN FROM PROPERTY, TAX NOTICE! <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: ~~GL FAMILY DWELLING <br />o COMMERCIAL <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 />OMULTI -FAMILY <br />o INDUSTRIAL <br /> <br />Ofl: OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE Hm <br />o OTHER <br /> <br />D RESTAURANT & HE~TH DEP~RTMENT APj?ROVAL /\ <br />DESCRIPTION OF WORK:::~'" ~-(- r-,-: I LII r-1 P L C r 5' L /} /j <br /> <br />I ... <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />/' <br />-:ri--fl UI LDING <br />I <br />o ELECTRICAL <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />,:v <br /> <br />'jdo '.- <br />$ <br /> <br />PERMITS REQUESTED <br /> <br />/3/'3 <br />if j ./ <br /> <br />, 4-. ........ <br />~:..._,;;:;;;;.,.;......._....-.. <br /> <br />I <br />! <br />j <br />f/. <br />./ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <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 FLOO~ ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />/rfh' <br />BUILDER i/. y.-; ,,'} . <br />1 I ' :/ <br />. 1/. . , . 1/... .' <br />, ~ ./ . / <br />SIGNATURE LJ.: j Uit.,:U1^v <br /> <br />COMPANY L/rli. C It} ( d t~ Ai 6' <br /> <br />STATE CERT OR REGIST fl: <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 />