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<br />CIrry OF ZEPHYRHILLS PERM.l'!' A~~.LJ.l,;A'J:.J.U1't <br />BUI'LDING DEPARTMENT 5335 8rR st, Zephyrhills, E~ 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />,1 <br /> <br />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME e .If:) L ~ a ~ <- <br />JOB ADDRESS tl q;J 7 S-t.it 5 J . <br /> <br />~t'Z <br />7~ 11\ i J ~ <br /> <br />PHONE ?5'd ~ ~(., '66QS- <br />,.- ~('IJ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID it \4..1~<R- ~\ - DO\O-b' \00 -' COSO <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />WORK PROPSED: D NEW CONSTRUCTION DADDITION DALTERATION D REPAIR D INSTALL <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: .SGL FAMILY DWELLING DMULTI-FAMILY Dit OF UNITS D MOBILE HO~ <br /> D COMMERCIAL o INDUSTRIAL D SWIMMING POOL D OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />-JLRonQ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />/ / 00 <br /> <br />HEIGHT <br /> <br />5\'...~k :Stori <br />g,IIt1-t- <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 />D BUILDING $ .9\ CC). 00 VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL AMP SERVICE D Progress Energy 0 W.R.E.C. <br />D PLUMBING <br />o MECHAt\jICAL $ VALUATION OF'MECHANCIAL INSTALLATION <br />o GAS . ROOFING o SPECIALTY D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />li~~(I-;-~rl-"""~~~- ----"~-~~..-r ~-, - -- - - Ir-l- ~~~----- -------1.- -; d~_" -- ~~- ---"---"-I~--Il-.T~'"f.-""-'I <br />[I I I ': " " 'ii ,,' '.' , I, 1 ' .,' I. "I,. <br />_......._._~_~____~~__--J.__'-_~_'-- _ _-'-'- _.~____ _____~ ----- - - - -----~~--~---~ <br /> <br />SIGNATURg- <br /> <br />L <br />J <br /> <br />COMPANY <br /> <br />/t., ,4f ~ <br /> <br />~w~t"{L <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST it <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <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 i <br />