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<br />CITY OF ZEPHYRHILLS .I::'.I!i}(J.IIJ..L'.1' .l\.rr.L.I.L.'-'''~'''~,",,''' <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, F]~ 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />----- <br />L.J / J j~ / 0:; <br />I J <br /> <br />PHONE CONTACT FOR PERMITTING t.-(CJ {- 59 J - c; J-':;cJ <br /> <br />OWNER'S NAME G- 1/ f1. /l f11""r- 5: /J L- IS' r5 u (2 f.( <br /> <br /> <br />JOB ADDRESS J l-(f.( I M /f L 11(' y , r h.. 01( <br /> <br />PHONE [-Iv I' ;/'p)--- e, J 70 <br /> <br />LEGAL DESCRI PT I ON: LOT ( S ) /'1 I <br /> <br />BLOCK <br /> <br />SUBDIVISION [/"7/3"/< 1ft fJ f/tJJ Mr,~ <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />PARCEL 10 # <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <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 />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />g"OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK S ~-.;.., <br /> <br />"/;J~rr1V1 <br /> <br />~C;( If fi 1\/ J Nt: <br /> <br />I AI E.x I t 'I If\! G- <br /> <br />BUILDING SIZE <br /> <br />/'-/';( jljJ <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 ENERGY FORMS. <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />11 1/ f5 <br /> <br />[1(" BUILDING <br /> <br />$ :2.,000 <br />f <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 AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />~~ <br /> <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 />