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<br />CI~Y OF ZEPHYRHILLS PERMLT A~~L~~A~~U~ <br />BUI'LDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br />PHONE CONTACT FOR PERMITTING '6l~'10{-(;;22 \ <br /> <br />OWNER'S NAME~Dfv1C1S~Q"~(l~ 2)c~~Ct'l{2- PHONE <br />JOBADDRESS'.~6'920 S% p~. 2LPflcirVltll~lfL, 5'~5<-1<- <br />LEGAL DESCRIPTION: LOT(S) 1-:5 BLOCK 1"1cf SUBDIVISION '. '. <br />PARCEL ID it l \ - ;2(0 -::21-00t.o.::J?-IoD-{)OIOIOBTAIN FROM PROPERTY,TAX NOTICE\ <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION [JADDITION [JALTERATION [J REPAIR [J INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: [JSGL FAMILY DWELLING [JMULTI-FAMILY [J# OF UNITS [J MOBILE HO~ <br /> [J COMMERCIAL [J INDUSTRIAL [J SWIMMING POOL DOTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br /> <br />DESCRIPTION OF WORK ~ e... -~ <br /> <br />BUILDING SIZE ,:s~ SQUARE FOOTAGE 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 />~UILDING <br />o ELECTRICAL <br /> <br />$ ~1~10,JO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[J Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br /> <br />D MECHANICAL $ <br />D GAS ~OOFING D SPECIALTY <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />VALUATION OF'MECHANCIAL INSTALLATION <br /> <br />D OTHER <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES 0 NO <br /> <br />1~lr~'I~'-T'--"- -, -~ -~ -, - ~---;-- --,.,....,-- ~., - - _.-" - - ~ ,.---- --..----.,~.~- - --- ~ ~ - - I - -, - . - - -~ - ~-.-- ~ r- 1-- -1""-' - --;T:"'_--~IT'I <br /> <br />WI' ) i1 ~ 1, l' I,' , 1" I,' i .' , I 1 I' ,',," I'" 1 I. "r',:'"'1 <br />_.....~~ ~__~~_~.:..cl_L.:.~~..:..L......... __~_.___..:.....____________ - - ------'---~-~-~~~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <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 />OTHER <br /> <br /> <br />********************************************~****i*************** <br />~ <br /> <br />COMPANvC<?~cJ. R7 .r_~ 1Sir:rlf:-l-fD~4,,') <br />- <br /> <br />STATE CERT' OR REGIST # ;27&0 <br />