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<br />cIrry OF l6~.t'n~~n..L~.u.... ... ......--- - --- --- <br />BUIILDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542 ~ <br />813-780-0020 FAX: 813-780-0021 ~ 0 <br />DATE RECEIvim l"l <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />~, <br />s;i11YA ~:':j{~~ <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION Y..ftLL ~~? <br />, ---- <br />(OBTAIN FROM PROPERTY,TAX NOTICE\ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID it <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />D SIGN <br /> <br />o ADDITION <br />DMOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />D INSTALL <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />[]ft 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 APrROVAL <br /> <br /> <br />'~UARE FOOTAGE . . <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <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. //" 1t1 <br />/ r'ttl / <br /> <br />( J)~-/ <br />,-- , ~ <br />VALUATION OF TOTAL CONSTRUCT TON -~~ <br /> <br />6rfO <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHA~ICAL <br /> <br />AMP SERVICE <br /> <br />D 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: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES [] NO <br /> <br /> <br />STATE CERT OR REGIST i <br /> <br />********************************************************* <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />- <br />STATE CERT OR REGIST # <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 />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />***********************************.********~****~*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br />