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<br />CITY OF ZEPHYRHILLS PE.l<M~ '.1' .Iu"r.LJ.L'-'.n..a. .....'-'... <br />BUILDING DEPARTMENT 5335 8TH St I Zephyrhills, Fl, 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />ilS "v~ <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER'S NAME. f)t2-\PT\&!i.P II Q.ON f)O~ <br />~ ::l-""-o"'vJov~ <br />JOE ADDRESS 3?; 3... ~l"n;,f dJ ~~ <br />- ~ -'3~3 - .~~ <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />or 2?1t",,~~sNE -!:3 OZ- -("5 TJ <br />ulJ 4 ~.... ~J LL- <br />~ 3411 - 3'i~ <br />SUBDT(risION <br /> <br />PARCEL ID # <br /> <br />O~ - db - ;>'1 <br /> <br />O;}\fr - C)()ILOO-OO/O <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />[] REPAIR <br /> <br />[] INSTALL <br /> <br />o SIGN 0 MOVE 0 <br />PROPOSED USE: OSGL FAMILY DWELLING ~ULTI-FAMILY <br />o COMMERCIAL 0 INDUSTRIAL <br /> <br />DEMOLISH <br />-h# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />_'Be ~j()-F <br /> <br />sJ,,;~ <br />. <J <br /> <br />~g- ~ <br /> <br />"30 r;r 3 * <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 E'ORMS. <br />IF SIGN PERMIT 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 />/5'. tfoo ,00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <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 AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************k************* <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************k* <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 />OTHER <br /> <br />***************************************************************** <br /> <br />~a{in5 <br />SIGNATURE ~v:o--- ~ .3i2fb.<. J..--.--.... <br /> <br />COMPANY S{eO-rT EU4C~,1j?mftl\.(' ~C <br />oJ . <br />STATE CERT OR REGIST # c..<!...COS'1'7~'l <br />