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<br />CIjI'Y OF ZEPHYRHILLS PERMJ.'.l' A~~LJ.l.;,n:J:.LU1't <br />BUI'LDING DEPARTMENT 5335 8TH st, Zephyrhills, Fl. 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE GONTACT <br /> <br />3-\(0-00 <br />DA'rE RECE IVED <br />FOR PERMITTING3 Slo- 91..0 Q L.L <br /> <br />OWNER'S NAME \"(\OU~S M. C:AeC(~ <br />JOB ADDRESS '~~ 'f ~ --r;;u" ~)\A. L \ r--' C \) ('. J b- <br />LEGAL DESCRIPTION: LOT(S)~~Co BLOCK <br /> <br />PHON~) :s-t3- ~ "3 <br /> <br />SUBDIVISION E'Mt:ilJ:ILD POI ~Tc <br /> <br />PARCEL ID jj: <br />WORK PROPSED: CJNEW CONSTRUCTION <br />Os I GN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY , TAX NOTICEl <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />[J REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Djj: OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />. ~ RESTAURANT & HEALTH DEPARTMENT APrROVAL <br /> <br />~~ <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 />o BUILDING <br />o ELECTRICAL <br />~ PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o 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 />~'I::--'~~"~:--"-'-~ --... .. -- ~-- --- - , -, - - - -- - - - i -- ---~- -- --- - -- -- -- - I - -- --, - - - - -- ~ - -- - - - ~-- --r- - -,-;:-----~'I <br />III I, II I I 1 I I' .' , I I I , I 'If.', 111'1 I <br />_ I ' I I' I j 1 j ,I <br />~ _______.____~...:...J._)...._.~_~_ __ _L_____ -----~--- -- - - -- --_._~~-~~---------------~~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST jj: <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN COMPANY <br />SIGNATURE j STATE CERT OR REGIST # <br />~ ~ <br />PLUMBER ,iI******..******..~***~,;l***..***::::::~~*~~ ~ <br /> <br />SIGNATURE dou...Lt :..... ~0 " , STATE CERT OR REGIST # oo~~ <br />*****************1************************************************ <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 />