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<br />CIrry OF ZEPHYRHILLS PERML'.1' A!:'!:'l.I.L~A'J:.LU1'f <br />BUI;LDING DEPARTMENT 5335 8~H st, Zephyrhills, EL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />~J f.o /() &; <br />. <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ,-to ~r -~ If #:: If /) <br />JOB ADDRESS t\\ ~tf9. 0 i h 0 r- <br /> <br />PHONE <br /> <br />fl3 7~o - //1 tJ- <br />I <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # \ \-cHo -~\ 00\0. Old::DO - D040 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION o ADDITION [JALTERATION [JREPAIR D INSTALL <br /> DSIGN DMOVE D DEMOLISH <br />PROPOSED USE: ~GL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS [J MOBILE HOt-' <br /> [J COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APrROVAL <br />DESCRIPTION OF WORK ~C~V [CF U )OGIC/I..p e.. <br />BUILDING sIzi?:d f. do, 1 - ~ L"" SQUARE FOOTAGE /c2 0.0 <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 />D BUILDING <br />~LECTRICAL <br />o PLUMBING <br />[J MECHANICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVTCE <br /> <br />)( <br /> <br />Progress Energy <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF'MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />~~I-~'-;--""....~~".,....."...r- -~-- --------,..-- -'---~~~ - -:~-~,--_:_------- -~~---~- ]-- -~~-- i -- ----~-.-~-...-----;:~-I-_'7_~~'r,'~~1 <br />,) J I [' I " , , I I ,'~ -': I 'I ' I,"c T J) ',I'1!' <br />I ," , , " I I r l "I ~ II <br />-~--~-~~"'----"""-___'-.~~_.1....;.~.~____~__~____ _ _ - ------~-~--'-'--'----~- <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATUR <br /> <br /> <br />************************************************************** <br /> <br />ELECTRICI <br /> <br />COMPANY ~m <L~ <br /> <br />ATE 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 f <br />