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<br />cIrry OF ZEPHYRHILLS PERMLT A~~L~~AT~U~ <br />BUIILDING DEPARTMENT 5335 8~H st, Zephyrhills, Fl. 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />,1 <br /> <br />DNl'E RECEIVED <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />PHONE <br /> <br />~r~:)<\s )-~or <br /> <br />OWNER'S NAME ~~~~ ~. ~~, <S~~ <br />JOB ADDRESS ' s~t.,\ '-\ ~ T\\. ~ ~\...~~"\.\S <br /> <br />(\... <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL 10 i 1J -dlo-:il-OO\O '20(000 - DDIO <br /> <br />SUBDIVISION <br /> <br />PROPOSED <br /> <br />D SIGN <br />USE:~~~Y <br />[J COMMERCIAL <br /> <br />DMOVE <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br />o ALTERATION ~IR '0 INSTALL <br />D DEMOLISH <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION 0 ADDITION <br /> <br />DWELLING <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />[J * OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />[JOTHER <br /> <br />c:J RESTAURANT & HEaLTH DEPARTMENT APrROVAL <br />(V"'~ ~\- <br />DESCRIPTION OF WORK \Jtv< '>~ b.n~ "(~\.~ ~.(~~ ~ --J~\~u... ~'~ s....~~\.. <br />BUILDING SIZE ~ ~~ SQUARE FOOTAGE '-\ ~ 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 /> <br />$ dl~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHAl'IICAY <br />o GAS ~OOFING <br /> <br />AMP SERVICE <br /> <br />o Progress Energy D <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF'MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br />~RAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES [J NO <br /> <br />!~['~---'--'r-.".-"-~-...... _ _, _ ~~_""'-____T"""~ ~.,__"_ _r" _I ~ ,_~ __....~..-----.-------~~___ - ---~- ~ ~ -~ ~ -- -- --- ---~---r--~- --"'-I"r,"-"""'" <br /> <br />Ii, " I I I I I ~ ( ( II I I, "I I ". 'i, l 'T J If I <br />~ I '1 I L, I" . 1 ' I '1 11 I <br />_......~__.~ __~~_I...:.__......-~~~~____~._~___~______---- ___ _ __~_~~__..:.=:J...:~-'l~~~;.....;.;..;..J-.l. ---~~ <br /> <br />BUILDER <br /> <br />COMPANY ~ ~-\.~,.- <br /> <br />SIGNATURE <br /> <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 # <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 />