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<br />CI~Y OF ZEPHYRHILLS PERM~T A~~L~~AT~U~ <br />BUI'LDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />/-/1-00 <br /> <br />PHONE CONTACT FOR PERMITTI~. .~~-J ':'-/i.!tf;) <br /> <br />OWNER'S NAME <br /> <br />~fi1f_ ~QJ~d <br />V ,~-cl~3 ~ //j~~f( <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID Jt \\ - J.~.~l- 00\0-.0390D-OOIO <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />Os I GN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />D ADDITION <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />DJt OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE Hm <br />DOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br /> <br />/i.J~cLtuJ <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 />PERMITS REQUESTED <br /> <br />Y BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />(;2910 · 02 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <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 />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />rl--"'--'-""Il~~~~~ I -.,.. ~ - --~~~.....---~,.-,-- . -~- -- ~ ~"- 1-- ---,.-.....-I~- - - -- ~-- ~-- j - _. - '. ~ -~ --- -'-1 - ~~ ~~ - -~~-~:~ <br /> <br />I' I I I I ..' I ' , ' , 'II~ <br />_~_____.~~u~~~______,-,~~_____~__.____""", _______~___ ~- -- - - -~-------~--~-~~ <br /> <br />SIGNATURE <br /> <br />v~f. <br /> <br />. I SZ-)D <br />J~ I <br /> <br />COMPANY <br /> <br />() 1..<J-nJA <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST i <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST Jt <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 />