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<br />CIrry OF ZEPHYRHILLS PERMl.'!' Ak'k'.LJ.LA'J.'.J.Ur. <br />BUI'LDING DEPARTMENT 5335 8~H St, Zephyrhills, p~ 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />PHONE C;ONTACT FOR PERMITTING <br /> <br />OWNER'S NAME M'R-i-K :r 7tf-'1/6~ <br />JOB ADDRESS 6'20 I ~+!- '"+ . <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # II 'Z" 7.1 00 I 0 15"700 0010 <br /> <br />/OBTAIN FROM PROPERTY,TAX NOTICEl <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: l1(JSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />~ALTERATION <br />D DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DMOVE <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />DESCRIPTION OF WORK flccl.it.le. S~Ic..F Q? --~1l fllf-J~ <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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />0'-- ELECTRI CAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ 1'200~- <br />tot> -f.o '2oD <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <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 />~'~I~I'--"'7-TII"""""-~"""'- -~------~......,- -~~--""I" - "-',-- --~~------~~--~----j~- 1""' - ~- ~ -~-~""~---"-r~-I~l-",~i~~, <br />I ' I I ' I ~ 1 f <br />.L~ "I, 1 ,', " :. - : I I I, , ' ,I, "", '11' <br />~~~ _.~~~_~""_~_l._.~_~_._~____ ______--------- ------~ ~~-~~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIS,]~ * <br /> <br />SIGNATURE <br /> <br /> <br />*~~*~*******************:::::::*l;~:**~;::~~::* <br /> <br />STATE CERT OR REGIST # 2..f~!(" <br /> <br />Gl <br /> <br />ELECTRICIAN <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 # <br />