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<br />* ~'?\)' <br /> <br />CI~Y OF ZEPHYRHILLS PERMLT A~~~~~A~~U~ <br />BUI;LDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br />DATE RECE IWD I'd - , g. - CXo <br /> <br />PHONE CONTACT FOR PERMITTING 6f3-1Ba-q5~o <br /> <br />OWNER'S NAME 1)~bD\ L f"fO rn e.~ PHONE <br />JOB ADDRESS 310\4 N'O..(\OY". '"Dr. l.e.pkll.l(hdl~1 J:L ~'.:>54';). <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID it /2-24-U-D06>-OtJD60-0/fo <br /> <br />SUBDIVISION <br /> <br />IOBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION o ADDITION OALTERATION o REPAIR ~ INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY Of: OF UNITS o MOBILE Hm <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br />DESCRIPTION OF WORK \fVs-ta..\\ ~e.wif <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 <br />g"'PLUMBING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />N.R.E.C. <br /> <br />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <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 />r- ~"I''''''''''''-'T"T l""--'" ~ - - -- ~..,.,..-~-....".....,... -,. ~ - -~,.~,. - r-- ~~--.---- ~~- --- - -~ -- --- ,. - - --- -- -- -" --- ~ ~- ---,- - ,.----~~- <br />[ I J l ~! I ' " ~ ~ <br />~_~~...!..-......!._--.:.._ ~_'-'~~_____"-~ ______ _ ___________________ _~ __ _ _ ~_____~~J~_~____~_...;;..L 'r ' <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 />COMPANYl)erw\\,':) WI \'lo.lYl~ \ .I ~. <br />STATE CERT OR REGIST * tf~ \4~tDO::;A <br /> <br />SIGNATURE ~ 'a, ~~ <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br /> <br />***********************************.********~****i*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br />