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<br />CI~Y OF ZEPHYRHILLS PERM~T A~~~L~Ar~u~ <br />BUIiLDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />3/.,22/00 <br /> <br />PHONE CONTACT FOR PERMITTING 71'-1 ~ 017 r cell <br />1')&t-Jy..J1~ '" <br /> <br />OWNER'S NAME <br /> <br />'0\,,~ ~"RJ~ <br />-3~S~~ ~_~ Slf- \~~\~ :z <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />q~y~~,~\~'-- <br />SUBDIVISION <br /> <br />JOB ADDRESS <br /> <br />PARCEL ID it <br />WORK PROPSED: ONEW CONSTRUCTION <br />o SIGN <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 />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0* OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APfROVAL <br />DESCRIPTION OF WORK l"'~C'~~"C\~ ~~ ~/..;;,~. ~ ~-~~~~1--'(~-\c""~<;"Id.-\.}.\It:.."'S) <br />BUILDING SIZE 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 />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />~UMBING <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o MECHANICAL <br /> <br />t?oO <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~'---'~T-r'...~ -~- - ~ -~----~- ..-,.~~- ~~ ~ -I - ~~- -~-'~~ --~----~- -~1~- -- ~~" -- ---~ ---~- -,'---;---~~~~T,,;",~;: <br />111 J I I I I ' I' , j 'I I 1ft '11 <br />...:....""'"-'~~_ ~___.;;;.;..J._~__J...;.__~__~______._____':""~__~_______ - ------~~~~~~---~ <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 />, <br />STATE CERT OR REGIST . <br /> <br />*****************************************************************r~~[) <br /> <br /> <br />PLUMBER (\ . J. . -. . . rotJi ~ COMPANY~~~>-S ~'~,\,~~>\~('~,-- - <br />SIGNATURE ~, .f.} JA.~~ STATE CERT OR REGIST t Q.R_V{~~\oC):;2.. <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br /> <br />********************************************~****;*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br />