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<br />CIrry OF ZEPHYRHILLS PERM.!'!' A!'!'.LI.LL;,f\.J:.LUJ.-. <br />BUI;LDING DEPARTMENT 5335 8TH st, Zephyrhills, ~L 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />~-3 <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />JOB ADDRESS <br /> <br />/)'i'"!;- ~ <br /> <br />Roh e,h -t- 5//1\/ <br />96hl S;f- "") fI- <br /> <br />PHONE ~!:..~ -7 ~ "3 <br /> <br />927--:> <br />- <br /> <br />OWNER'S NAME (.;J... A f) Y '\ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 it l,--a(P-~\ _60\0- 01'-+00- DOLO <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE! <br /> <br />WORK PROPSED: []NEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL <br /> Os I GN o MOVE 0 DEMOLISH <br />PROPOSED USE: BSGL FAMILY DWELLING OMULTI-FAMILY D. OF UNITS o MOBILE HO~ <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br />;(1.2 ;for) .;: <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> PERMITS REQUESTED <br />o BUILDING ~ t2 ()O, 00 <br />$ VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL AMP SERVICE 0 Progres5 Energy 0 W.R.E.C. <br />o PLUMBING <br />o MECHANICAL $ VALUATION OF'MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 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 AREAD YES 0 NO <br /> <br />,_ -,'-----Il-"'-~~ -,. -- _ . _ "...--~--.--,.....,-I -t...,.--- _ _ -" -"- .....--~-- ~~,.-.-.-.------- ---~ - --1- - -- -- -- -- -- - - ~,- ,,---- -i"""-'-- --;7-"''''''''1- <br />~' J I I' I I / ( I I f I , 1. I 11'lf! <br />I" I 11 I I j I I I' ~ - , t > I I' I , 'I I I I' pi) J <br />~.....,~-1.....~__ ~_______~__l"'-'- ~_.....:..-......---~~----~--~------- - - ----~~~-- ' <br /> <br />COMPANY jj i'f'"'h... (l J dl ~.J/'1l ./lh <br /> <br />STATE CERT OR REGIST it <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 <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />