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<br />CI~Y OF ZEPHYRHILLS PERMLT A~~~~~a~~v~ <br />BUI:LDING DEPARTMENT 5335 8!fH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />/t2.. - -<? -0 )- <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER'S NAME Wr;l.,l S~/~C' IIss, 5#FtJ <br />JOB ADDRESS :3 7 j?/:r ISf/~ .1t/L <br /> <br />hI';' C. MLI ~. PHONE <br />~/. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 * <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />PcOMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />o ADDITION <br /> <br />~ERATION <br /> <br />o 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 HOt' <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APfROVAL <br /> <br />DESCRIPTION OF WORK C#4vdr ~if S/.........-K'( <br /> <br />v- 1'9 tJ /J d).. ~ S/of/KS <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 />ED / ;(P/~7 <br />PERMITS REQUEST '------~.:.::::::;:::.---- <br />o BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL <br />~-PLUMBING <br />o MECHANICAL <br /> <br />- '."'~~'-"""--'~-..., <br /> <br />AMP SERVICE <br /> <br />W.R~E.C., '\ <br /> <br />( . d&i:/ <br /> <br />VALUATION OF MECHANCIAL INSTALLATIO~- <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <br /> <br />~ <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />~'- -'-"'~-T ,- -- ~ - -, -------' - - - - -- - i- - ----~---- ,---- - - - -- - - - -' - -- -, -----7----- <br /> <br />, I II r . - l I' I I . I 11 <br />,r , ' , I r <br />_......,.....~~__,...,.~~~_--l.-____ ___ __ ________~ ~___~~_ ____~ -- ________~;l_~_~-~~~ <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 />SIGNATURE <br /> <br /> <br />*********************************************************** <br /> <br />PLUMBER <br /> <br />COMPAN~7( Q;~y~ tI'"."L..;-/ ~ <br />c Fe; ~ S? "Il4 y.. <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 />