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<br />CIrry OF ZEPHYRHILLS PERMLT Al'l'.LI.1l.;A~.LU1'f <br />BUIILDING DEPARTMENT 5335 8ra St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:B13-780-Q021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S N^"E:be- ~J~fC . <br />JOB ADDBESS 65.:20----"-/;1:; I?cQ <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID itC3--<b-:<I-c:xJ-O/~ -~1(,? <br /> <br />. PHONE tS?1.3-7g<-o?~ <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />WORK PROPSED: o NEW CONSTRUCTION o ADDITION ~LTERATION o REPAIR o INSTALL <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY Oft OF UNITS o MOBILE HO~ <br /> ~MMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />/p RESTAURANT <br /> <br />DESCRIPTION OF WORK L/L!;L It!2JelJ I { <br />,. '(~-- <br />BUILDING SIZE ---" _~ :~~". .~'Y" <br /> <br />& HEALTH DEPARTMENT AP~ROVAL <br /> <br />SQUARE FOOTAGE ~0():) 7;~( <br /> <br />HEIGHT /6# <br />. <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 />$ <br /> <br />/. q:{) ~ <br /> <br />PERMITS REQUESTED <br /> <br />P(BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <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 />ArRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~NO <br /> <br />IT -'~---~'-' -~ -~ -- ,q ~-- ---~'- - .~- -- -.. - . "l-'----~-------" PI- -, -. .. -- - - -'" _P ,..--- --:.-r'-';I" <br /> <br />~ I I, ".: " :' , " . . ' I ' I _ ' I I , ' I' ~, ,) , ',Ii I,: <br />_.~_~_"-----'J._~_~_~__),;;.__~ ~~_ __ _"_____ ________________ ____~___ -- ____~~~_O!~~~__ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST it <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <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 />