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<br />CI~Y OF ZEPHYRHILLS PERMLT A~~~~~AT~Uft <br />BUIiLDING DEPARTMENT 5335 8~ St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br />PHONE c;ONTACT FOR PERMITTING er3-73J.- 9S.;w <br /> <br />OWNER'S NAME ffi""J .~c1)"til <br /> <br />JOB ADDRESS '41 ~ ~ )'1 \-h st. <br /> <br />PHONE e\~.qq1- Y<-1 r'J7 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 *' IL\- z.~ ..;ll- 00\0- Dd'>SOD. 0050 (OBTAIN FROM PROPERTY,TAX NOTICEl <br />WORK PROPSED: 0 NEW CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR )t INSTALL <br /> <br />DSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Ot OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE Hm <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br />DESCRIPTION OF WORK , n~\ ~ s.~ e...f <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 /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />~ PLUMBING <br />o MECHANICAL <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 />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOO~ ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />,.,.,r-..,~..r-Tr--,.........,..,... _., __ - ~~_-.---__~......_. ., ___ - - .. _ ,___ ~~~~_~~~~_ __ _______~_ _ ~ __ _ _ __ __ _ __ __ ~ ",___ ~___..__.,,_,_~-_-,.,_ <br /> <br />L~,~_'~_._~" --~--'--_~n_________L____~_~____._. __ __ __L___.:._.'----_~~_ ". I'> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />- <br />STATE CERT OR REGIST i <br /> <br />****************************************************************** <br /> <br />PLUMBER <br />SIGNATURE _~ f,~ <br /> <br />COMPANY ~-e.nf\\~ W\, \ IQl/l5 .r::~ <br />STATE CERT OR REG 1ST *' c..rc... 1'4-~5 (PO~ <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 />