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<br />CITY OF ZEPHYRHILLS PE.KM~ .~. .l\J:"J:"J.U..,",.n.~ ."'... <br />BUILDING DEPARTMENT 5335 STH st, Zephyrhills, FL 33542 #L- <br />813-780-0020 FAX:S13-7S0-0021 Q'/ <br />DATE RECEIVED IJ 05" <br /> <br />PHONE CONTACT FOR PERMITTING i;q/M/p:,,- <br />~ <br /> <br />OWNER'S NAME fJ.;f ~ J~J",,;./ it? Lf./f'4';a' /1- <br />JOE ADDRESS J L/ ~ ~ 100 ~ /Y! ."., L. / N tt <br /> <br />PHONE ii, J 7? f-J 5' ,/0 <br /> <br />LEGAL DESCRIPTION: LOT (S) d.. ~ 6 <br /> <br />BLOCK <br /> <br />SUBDIVISIONa:JI.t.u-A. At.-LJ '..obl'.;t;r /1..'/ <br /> <br />PARCEL 10 # <br />WORK PROPSED: )(rNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />~ ~, <br />--.\ ....< <br />> \ c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIP~N OF WORKt/..{/dt!~ i4J,)'.J/VD 'L""/1/!.9j~1 .,.~L~(j-r/AleAL C~.Vj)t./:) <br />BUILDING SIZE /2'><.:JA' SQUARE FOOTAGE Ji'!, HEIGHT II' <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />~OTHER <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br /> <br />OMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />PERMITS REQUESTED <br /> <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIR <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTR <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF <br /> <br />TOTAL CONSTRUCTION <br />Progress Energy ~ t~.R.E.C. <br />11 b L/ I 56 <br /> <br />~ ELECTRICAL <br /> <br />~ PLUMBING <br />'- v"e,.tJ ~.-< (I..</),.;r,. d <br />o MECHANICAL~ $ <br /> <br />AMP SERVICE 0 <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br />~RAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />.~~ <br /> <br />e7 L/~;f /'- <br /> <br />STATE CERT OR REGIST # <br /> <br />:it)****************************************************************** <br /> <br /> <br />ELECTRICIAN COMPANY <br />SIGNATURE - OP/ "A/,lf4- STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />/&/ <br /> <br />COMPANY <br /> <br />PLUMBER <br /> <br />o tA/'~ .E J'.. <br /> <br />STATE CERT OR REGIST # <br /> <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />04/# ",-.12.... <br /> <br /> <br />****************************************************** <br /> <br />OTHER <br /> <br />o t,.V,4/ ~ <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />