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<br />CI~Y OF ZEPHYRHILLS PERM~T A~~~~~flx~un <br /> <br />BUI'LDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />/--/9(---th <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />,') "-T ' . <br />OWNER'S NAMECf~/ ( .~ ~fr$.I~jf< <br />,1 ,/) . cy/ <br />JOB ADDRESS . 0. Ie C,t~_ cy 51 - ~ <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ~NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />IOBTAIN FROM PROPERTY,TAX NOTICE\ <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI -FAMILY <br />o INDUSTRIAL <br /> <br />Ot OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOt-: <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />~ RESTADRANT~TH DEPARTMENT APpROVAL~ <br /> <br />() /D,.J; f/L - c~~u~ <br /> <br />SQUARE FOOTAGE . HEIGHT <br /> <br />0d, <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <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 />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 />L,~~ ~~~ ;' :-~~-~~-~-~~~~~-~--=-~~-~-~-~-~~~~-=-~='~~=~ -~=~- ~ -~ .-- -~_~_~_I~~~~_~~~-~~~ ~- -,-.~, ~-~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />************************************************~***************** <br /> <br /> <br />ELlGcTRICIJ\N/-~ ~ ~ COMPANY vA Ot//lLirj tlF-t'o.bra4friJ;P~ <br />SIGNATDR~./ ~ - ~REGIST' /3D6Zc",/.!'5 <br /> <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 f <br />