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<br />CIrr'Y OF ZEPHYRHILLS PERMJ.'.1' A.t'.t'l.IJ.l...I\:J:..LV1'1l <br />BU~LDING DEPARTMENT 5335 8TH st, Zephyrhil1s, E~ 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING BI~-'76d -Q5dO <br /> <br />OWNER'S NAME [1(\ <Lve. ~ d rpO~ nt <br />JOB ADDRESS . 351 ~ TC)L.t.rmo... \ 1(\ L <br />LEGAL DESCRIPTION: LOT(S) ~1~ <br /> <br />PHONE 8/'~-76d -q5dD <br /> <br />-----. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ONEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />DMOVE <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br />DALTERATION D REPAIR rtf INSTALL <br />D DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Oft OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HO~ <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br />DESCRIPTION OF WORK \(\S~l \ 5(J.0U <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY <br />FORMS. <br /> <br />F~ORMS.:'l't- <br />PUtA.,>t<' <br />'-~.' <br /> <br />PERMITS REQUESTED <br /> <br />D EUILDING <br /> <br />$ <br /> <br />~ <br />(0 C->C. c) 0 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />)!l PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />D Progress Energy D <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 D NO <br /> <br />~'- -~-T- -,-., ~- . - H__ --- -- ---.-p- , - i-----------~- --~ - --- - - p-- - - -- -- - -, -~--.-;---- <br />, , J I ~ <br />J I 'I t,) I 1 I ) <br />.-:.~_~~_~~___~_~M_ -1~L __~~_~___ _. ___~___ ____~___~ __ _~ ___ __ ____ __~____~----'--~--- ' I <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />, <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />SIGNATURE ~Yl.fU..t..., CJ.. . E~~ <br /> <br />COMPANYUe(\(\\,,::> WI \ ham":> .LnL <br />STATE CERT OR REGIST #CF'L. lya5LoO 'J-.. <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIS'l' # <br /> <br />********************************************~****~*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />