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<br />4 <br /> <br />CI~Y OF ZEPHYRHILLS PERMLT A~~~~~AT~U~ <br />BUIILDING DEPARTMENT 5335 8TH st, Zephyrhills I FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME !J6Il1!:l:^, G/y ~tC. <br />JOB ADDRESS ~533 6ott.. W . <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br />WORK PROPSED: [JNEW CONSTRUCTION <br />DSIGN <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />]il..REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />[J# OF UNITS <br />o SWIMMING POOL <br /> <br />[J MOBILE HO~ <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br />DESCRIPTION OF WORK ~'1?4c'f" rY7~ C7I1f\.' <br />. <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 />o BUILDING <br />JtJ ELECTRICAL <br />o PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />Zoo <br /> <br />AMP SERVICE <br /> <br />jij Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF.MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J 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 />I~"_M,_......,.,.-_~ 11-- ~~~ ~...,- -- - -~ - -_~~_f__, ~ ~~ - - - ~I"r " ;-----~~~---~- -~-~~-~ 1---'- -- -- -~ -- M~ --- -- - ~ I :-~- -------, ~~-"""..,~~, <br />~ I ,I '1 I I' I I I I ,) ~ I ' .. 'I)' t, ~II '\ J <br />-~~~~_~_~~.J....__.._.......~~__._L....;._.~~_...__~______~~ __ ____~~_~~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br /> <br />ELECTRIcJln 1L--- . COMPANY tJ().<Jf)<J.,.,s" Fh-l. <br />SIGNATURE~~ STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <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 />