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<br />CI~Y OF ZEPHYRHILLS PERM~T A~~~~~A~~U~ <br />BUI'LDING DEPARTMENT 5335 8TH St, Zephyrhills, F]~ 33542 <br />813-780-0020 FAX:B13-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />c ~_~ t1 n. F/iJe 1- <br />?/~~ '/f-f~.sf <br /> <br />PHONE fJ,. -, Jrrt-t"t:J6 ') <br /> <br />I ,., <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 10 # 0) -) (J/-~ It-?J' CCOt?t:) --C It; () <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />o SyaN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br />o ALTERATION ~PAIR 0 INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />.1/ / / (~/l <br /> <br />RESTAURANT <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 AMP <br />~MBING /( p(J <br /> $ .~ 7fJjJ, - <br />ECHANICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <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 />L~'~~~~ ~,'-' -~~ ~--~==~~- ~~~.~~-'_.'~--~~~=-~ --.--=~~~-~~-~~:~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 />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />*******************************************~* *********~*****I**** <br />MECHANI% _ COMPANY 1- /.Jvt:f ((1I/(/J,j/ /I~h/." <br />//' <br />SIGNATUR~ - ~ STATE CERT OR REGIST it./! ( {} 5' <br /> <br /> <br /> <br />, .r * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *.* * * * * * * ,;. * * * * *' * * * * * * * * * * * * * * * <br /> <br />OTHER <br /> <br />t/ <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br />