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<br />CIrry OF ZEPHYRHILLS PERMJ.'l' Al'l'.1.a.U.,;.B.'J:.J.U~ <br />BUIILDING DEPARTMENT 5335 8TH St, Zephyrhills, ~~ 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />d (2 L_t!O (0 <br /> <br />PHONE CONTACT FOR PERMIITTING <br /> <br />OWNER'S NAME <br /> <br />iJ ,if <br />'kl....e-,. <br /> <br />fre." (c 5 <br />CSM. flU~ <br /> <br />;Z~J..y,ll (5) <br /> <br />PHONE j'/;> 715 77::5 s--- <br />Pl '> '> :;-'7 L <br /> <br />JOB ADDRESS '3905";2 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID it <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY , TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />[] REPAIR <br /> <br />o 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 />c=J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br />DESCRIPTION OF WORK (~,.fJ~r",,-~-< (/t::-C- S~rul'ce <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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />~LECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />fJ.oo <br /> <br />AMP SERVICE <br /> <br />~progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <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 AREAO YES 0 NO <br /> <br />~'-:""'--""~1"7"''''''''''''''' ~ - -......~ ~-----~....... - .., -~ - ~"H - /-- _~H'--~__~ ---- --~ ---- 1- - -I ---; " -,- -- - - I~'-- ~ 1-- ----;-,-,...,-- -~77'i"'"'~11 <br /> <br />1) II I , I..' I 1 I - " f "II J <br />_:"-'~__ .~J.J._~_~_L-..:...I._~_.~~L..L...-.I___ _._~__..:.... ~~____ - ____ _H __..L.__J_____~~.........--...- I I I <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />'ELECTRICIAN ~ ~ <br />SIGNATURE , _ ~ <br /> <br />COMPANY <br /> <br />/-h~<- 0u,I/1 ~ <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 * <br />