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<br />CI~Y OF ZEPHYRHILLS PERMLT A~~~~~AT~U~ <br />BUI'LDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IWD <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME 1J IJ K~/ if --r 1l);1tf&7c( e -Z ~~ <br />JOB ADDRESS _3R t{ 3 '~ / t ((;. IJ (;-<- 2 1/ <br /> <br />(', <br />f(ll;;Wn <br /> <br />PHONE <br /> <br />g/3 -- -71)-:' YJ-l(' / <br /> <br />'3 .:S SY 9-, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # \\-2Co_'2\ _aO\b_()7t30C':"OC90 <br /> <br />/OBTAIN FROM PROPERTY,TAX NOTICEl <br /> <br />WORK PROPSED: o NEW CONSTRUCTION o ADDITION o ALTERATION if REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HO~ <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />/)C::i ::STA;;T & HEALTH DEPARTMENT APpROVAL ..,e <br /> <br />'1 - Ii "7.~l!P~,o1~~ <br />SQUARE FOOTAGE d- J ,^- ~ HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <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 FORMS. <br />FORMS. <br />r..J...A- 8~- <br />O~..\o. ~ ~ <br />~~~~ <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />360 I DO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <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 AREAO YES 0 NO <br /> <br />'il~"I'~"""-I'-"-~ ......- - --~..~~-...........---....--~-- -I~" ;-r :--- -~,.............------- --~-~--~- ]1 - - .. -- - .. -- ~- "-:--I~-- ~-.,,--...-~- <br />~I' " , ,I " , I " , " , <br />) I I )1, , I" ~ r I I I I I L' )1'1 I <br />~J....~..!.....-._,,,,"_~~_~_.__,_.LL.-~_._J.......;. _.___...:J...l-~_____~------ .. ~~-~-~--~----~~ <br /> <br />SIGNATURE <br /> <br />COMPANY ~\- iY'>'" CJ'1.J...-~ <br /> <br /> <br />~~.~~........:~~~:.~:~~.~~.~::~:~.:.......... <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />e <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 />