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<br />CI~Y OF ZEPHYRHILLS PERMLT A~~~~~A~~U~ <br />BUIILDING DEPARTMENT 5335 8~H St, Zephyrhills, ~~ 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br />~'t <br />PHONE C;ONTACT FOR PERMITTING 3f'2- - 27' - //1 'I <br /> <br />LtiNttlA1I- ~~ ((lJ~- <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />7 () 7- 81.((.- ?-f"'t ( <br /> <br />JOB ADDRESS <br /> <br />(ff.ILITt1 ~emevr. ~ ,q,vc;eu 14v1? <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK SUBDIVISION <br /> <br />PARCEL ID * <br />WORK PROPSED: ~W CONSTRUCTION <br />DSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />O. OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />~THER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APpROVAl, <br /> <br />DESCRIPTION OF WORK lOOA . ?i:/J <br />BUILDING SIZE . ~~ <br /> <br />1'2-0 j-z.t{o .;. ~ ~ FoJt.-- L../ Fr ST11r70~ <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. ~O.DO ~u_l.rn/~ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~ ~ ~, <br /> <br />- <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />~ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />IObA. ~ AMP SERVICE <br /> <br />~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 AREAD YES 0 NO <br /> <br />~'~--'~~T~~~;-'-~-' -- -----,.~- -~-- - - -, !---~~~------ ---------j-- -,'--,,- -- -----I--~r-r~-,-:-.~-~;~J <br />, ,I I, I I I I , I'. - . J f i, f, 1/]....1 <br />.!....~~ ~__~--...,_-'-_J__~~~_I.1 ___~_~__..:__~____~_____ _ ____~~_~~__~______~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST . <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br /> <br />~~ <br />1JD. <br /> <br />COMPANY <br /> <br />al'1fUf L- ~"-'-I FP-dll,l A/L <br /> <br />ELECTRICIAN <br /> <br />STATE CERT OR REGIST # 1320011S1{.-3 <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 />