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<br />CI~Y OF ZEPHYRHILLS PERMLT A~~L~~A~~U~ <br />BUIILDING DEPARTMENT 5335 8!fH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />~ ~d-()(P <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER'S NAME S 1 E. t/ c ~ tJ K f; ()..) ;vi <br />JOB ADDRESS '37 Y L/ 12~ ITt/b. <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID '# <br />WORK PROPSED: [JNEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[J ADDITION <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICEl <br />~ERATION ~EPAIR [J INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J* OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HO~ <br />[JOTHER <br /> <br />BUILDING SI ZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />[r:-- frv{"CA- /'J % tA-J)vL Od/Ll/ <br />. . / <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />[J BUILDING <br /> <br />.~ L/ ,0 <br />$ ./-- I {lO/ <br />j <br /> <br />PERMITS REQUESTED <br /> <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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br />[J PLUMBING <br /> <br />AMP SERVICE <br /> <br />[J Progress Energy [J <br /> <br />W.R.E.C. <br /> <br />o SPECIALTY <br /> <br />VALUATION OF'MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o MECHANICAL $ <br />o GAS ~FING <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br />~,~,..". ,~",,~_~ _._. _._ '__'_" ., ,r_ _ ... _ ., _ :-- _ __--;-,-- .--.- ...--.--. I . .-. ~.". .. _..- ',e ;------.~.~~-, <br />i " I ii' , I ,,<. . ' I' I" ,I ' ,.,. i <br />_~._______~4-_'_~_---'----~'~--'---'---'--'_...'........'~-~-~.L--._' "I' <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <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 # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />~ ***************************************************************** <br /> <br />OTHER f!/c!( t.;J //'//1/ COMPANY //1 VI J ;2 ()V,:::'/,Jrr <br />SIGNATURE ~ c-.::.- /J))/J- STATE CERT' OR REGIST # J2. L () V t.j i 2J{ ) <br />