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<br />CI~Y OF ZEPHYRHILLS PERMLT A~~~~~AT~U~ . <br />BUI'LDING DEPARTMENT 5335 8!fH st, Zephyrhills, FL 33542 W(p 110 <br />813-'180-0020 FAX: 813-'180-0021 5-1q-ol <br />. J DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME 5 r,r 0 LJ -t-. 5 ~ {t=:. e 1 <t- b 0 V'" ~ _\ <br />/ <br />JOB ADDRESS . J ~ '=' n 1 (1;K1. I{-u e <br /> <br />PHONE -8'13 -7<f"J--7/b? <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 10 it .J-f"~} c...f}..qGk eU. <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE\ <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />~ INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI - FAMILY <br /> <br />0* OF UNITS <br /> <br />o MOBILE HO~ <br /> <br />o COMMERCIAL <br /> <br />lit OTHER <br />r-e Vl Cre <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />GOnS t".V i-+- V;f'J 71 P V\ d:. - S~ ~ '" ~( k e~ <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />DESCRIPTION OF WORK <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 />o 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 FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />~~~~~~:~": ~~~ ,~- ~, ~_=~,'~ "~~~~~~~.~~'_,~,~_~~-=~~-~ _' ,-- -___~~-- - ~l.-~~2~~~~ - --,c == <br /> <br />BUILDER . <br />SIGNA;URE ~~ [......~~ <br /> <br />COMPANY 1.....-/J-<:> /Y1 fl- C:J.AfN dL <br /> <br />STATE CERT OR REGIST it <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 * <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 />