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<br />CI~Y OF ZEPHYRHILLS PERMLT A~~~~~A~~U~ <br />BUnDING DEPARTMENT 5335 8TH st, Zephyrhills, Fl. 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DA~rE RECEIVED <br /> <br />2;?5 -010 <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />~ <br />MO ( ( ('j <br />t:;8cf<+ <br /> <br />tf lA-"^~tA ((1 <br />23 c.E- 5>7r<:~ f <br /> <br />PHONg ?~ j .-/~gg <br />Zc lAy I'"JJ/Is ;=-L <br /> <br />" <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # -1 t.... 1.,-b - 2A - 0000 - 0 t 30tJ <br /> <br />SUBDIVISION <br />CJ~C?AIN FROM PROPERTY,TAX NOTICE) <br /> <br />WORK PROPSED: [)NEW CONSTRUCTION [) ADDITION [)ALTERATION [) REPAIR o INSTALL <br /> Os I GN o MOVE ...A.-oEMOLISH <br />PROPOSED USE: [)SGL FAMILY DWELLING [)MULTI-FAMILY 0# OF UNITS [) MOBILE HOt' <br /> [) COMMERCIAL [) INDUSTRIAL [) SWIMMING POOL [) OTHER <br /> <br />~~ESTAURANT &, HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~ ~ (:-f (0 r-/ . <br />BUILDING SIZE t'7 0 D SQUARE FOOTAGE . <br /> <br />HEIGHT <br /> <br />\ -b \ <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 />[) BUILDING $ '?/J GD ,l;<D VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />o PLUMBING <br />[) MECHANICAL $ VALUATION OF'MECHANCIAL INSTALLATION <br />[) GAS [) ROOFING [) SPECIALTY [) OTHER <br /> <br />TYPE OF CONSTRUCTION: [) BLOCK <br /> <br />[) FRAME <br /> <br />[) STEEL <br /> <br />[) OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />COMPANY C'O'SS <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 />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 />