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<br />CITY OF ZEPHYRHILLS l:'J!i.t(MJ..~' .li.J:"J:"J.u..w.n..&......""... <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />/f-IIJ- D ~- <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />L. n1C-.~S:Sl~- <br />.---rc; lR.)\ rv1 Q \ \ (\ ~ <br />LEGAL DESCRIPTION: LOT(S) ~~::; <br /> <br />PHONEbIZ-l \ () -62.02- <br />~y" \o~ 2-6S <br /> <br />OWNER'S NAME f\-\ \<::Z.-Vl <br />JOB ADDRESS 35 tf3 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />/OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />WORK PROPSED: D NEW CONSTRUCTION <br /> <br />DADDITION <br /> <br />DALTERATION <br /> <br />[J REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNI'rS <br />D SWIMMING POOL <br /> <br />o MOBILE HOM! <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT AP1?ROVAL <br /> <br />\ 0 ( ')(2. 0 f ~. \d-t ;S \ ~lo.\'" <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENER<3l' FORMS. <br />FORMS, <br /> <br />// <br />/ <br />I/" <br /> <br />/1 II~ /. <br />,_._-------~ <br /> <br />)('.UILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />\ <br /> <br />$~\ -2-0,00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ <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 AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATUREi~J . <br /> <br />"~' COMPANY <br />~f/ e-- ' . <br />. '. STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <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 # <br />