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<br />CITY OF ZEPHYRHILLS PE.KMJ.'~' .arrJ..l.L.\,.,zu....."'... <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, Fl., 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />y... -Ofo <br /> <br />PHONE CONTACT FOR PERMITTING <6 /3 ;2qqq357 <br /> <br />OWNER'S NAME <br /> <br />YG b/1V <br />" G, ClII. <br /> <br />PHONE <br /> <br />7d./-YIo3 - '7'5~~ <br /> <br />JOB ADDRESS .7 3~ 0 <br /> <br />Blv-d <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />DSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />IOBTAIN FROM PROPERTY.TAX NOTICE) <br />~lJ.TERATION [J REPAIR 0 INSTALL <br />o DEMOLISH <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />oMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMJ <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK j nstull A-ns u..( ~ tffc/fl {fl (le1J.J d.-R- LL h~& <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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />:$J.fr~ <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 />. "'...- <br /> <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />VALUATION OF MECHANCIAL <br />~OTHER {-c~ <br /> <br />/c <br />/., <br /> <br />INSTALLA(ON <br /> <br /> <br /> <br />"'----.-. <br /> <br />/ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <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 AREAo YES <br /> <br />o NO <br /> <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 />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 />COMPANY 51 rnp. elC 6 n r;nell <br /> <br />OTHER ot=:.(t ((\cklfln/G- <br />SIGNATURE -Ov An ~11 WJ /J.{1) <br /> <br />STATE CERT OR REGIST # <br /> <br />~t{O~Lfq07JZlll)(J2 (Sf -R-J <br />