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<br />. ... <br /> <br />CIrr'Y OF ZEPHYRHILLS PERM.!'!' A!:'!:'L.LL;A'J:.1.U~ <br />BUI'LDING DEPARTMENT 5335 8~H st, Zephyrhills, ]l'L 33542 ~ <br />813-780-0020 FAX: 813-780-0021 . ~ 6b <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />j' ,,.! /;'? e <br />OWNER'S NAME \'vJ7..e./j;5 l j ~4~.~ n N/J1JZ <br />JOB ADDRESS . 550<6 e";-'~ ~c <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: []NEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />D DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Oft OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />Ufjra,cflL ~'/l);C-~ <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />PERMITS REQUESTED <br /> <br />l <br />\ <br />\ <br />VALUATION OF TOTAL CONSTRUC <br /> <br /> <br />FORMS. <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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br />~ELECTRICAL <br />D PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />~l) <br /> <br />AMP SERVICE <br /> <br />o Progress Energy jKt <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 />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />~t-:I~'I~ -1"-;- ,-, ~.....- -;- - - -- ~ ___ ---,.....,- ..... -~ ~ "" H - ~ ~ ___~~.r-~~ ~--~--~--- ---- 1- - -. H:_ - -- H~ - H - - - ~ -~ ~.,....-, -, I-:;J~""""';) <br />1 J I I II 'I' I, '_ . , II I ' I l rco'l 'II <br />_~.~ll.+____~~_~,-L-.....~___~_.___':_~________________~___ -- - _~I____~~"",~~~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST ft <br /> <br />****************************************************************** <br /> <br /> <br />COMPANY ~~./li/7 ~&:fr/c..~ c... <br /> <br />STATE CERT OR REGIST ft <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST i <br /> <br />SIGNATURE <br /> <br />********************************************~******************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br />