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<br />CIrry OF ZEPHYRHILLS PERML'!' A.I:'.I:'.uJ.l;A'J.'.LUri <br />BUIILDING DEPARTMENT 5335 8TH St, ZephyrhiJ.J.s, ll'L 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br />(~I~) <br />PHONE C;ONTACT FOR PERMITTING .-,~~ .c::oc, I <br /> <br />....<'" <br />OWNER'S NAMiJ Q..fYt.e ~ <br /> <br />JOB ADDRESS '3~~Ol <br /> <br />9e<i<.1~~ ~ SUSC~, r~h~ PHONE <br />~c:x+h ~ <: ~hy r hLl b I fL 3~S\4). <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID it O~- a(,p-d-l- OOc:gO-~ro ICJO'- O;Lt+O <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICEl <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION [J ADDITION !XALTERATION [JREPAIR [J INSTALL <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE:~SGL FAMILY DWELLING [JMULTI-FAMILY [Jit OF UNITS [J MOBILE HO~ <br /> [J COMMERCIAL [J INDUSTRIAL [J SWIMMING POOL [JOTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />DESCRIPTION OF WORK U p~ ("a.. do"> ~\<.Y- -\-0 'Ln'J ~ <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 /> <br />[J BUILDING <br />'r/.J. ELECTRI CAL <br />o PLUMBING <br />[J MECHANICAL <br /> <br />$ <br />cl..o () . <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />'p( Progress Energy D <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: [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 AREAD YES D NO <br /> <br />~'J:-~r~~:;, .-- ~~ ~- - 1- ~ -,~----'--- -~ -- - - -~" ~ - !-~----,,~,--~----- --- - - ~--,.. _. n - -- -~T ,-- ~- ~ -; --- ~...,., - -~(~~01, <br />,I,.,).,. ;'::.:...; "1 ",1 I r' L I j ~ - , I, " 1 I I. j II' , <br />-~--'--'~_~_=~____4_=____~_._~__ ____________ ___ _____~____'_~_'__ _ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST it <br /> <br />ELECTRICIAN <br />SIGNATUREi~~ 6 ~ <br /> <br />****************************************************************** <br /> <br /> <br />COMPAN;.Re-RS c..... E I e".<. t\ri (p \ ~ '-- _ <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 />