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<br />CITY OF Z~J:'t1~~n.J.~.u..I'" ... ------ <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE GONTACT FOR <br /> <br />DATE RECEIVED '/~Z 2- .:is- <br />C..1ft-tf 'I ~2JA5 <br />PERMITTING <br /> <br />OWNER'S NAME _ cSf ~~ Ley rt;Jh VAl' (' J?ygZ <br />JOB ADDRESS ~_ 3'7SM !--Jill jkI'J /9V <br />LEGAL DESCRI PTI ON: LOT (S) -:If:/-h-7 BLOCK <br /> <br />PHONE 7 J' j -Jf~.!;;:J.... <br /> <br />SUBDIVISION 0J.y<f~)) J!()tJ/~"x/ <br /> <br />~ <br /> <br />(OBTAIN FROM PROPF.RTYTAX NOTICEl <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />~TERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PARCEL 10 # <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />0# OF UNITS <br />D SWIMMING POOL <br /> <br />o MOBILE HO~ <br />D OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br />DESCRIPTION OF WORK JiJ..2TI9J,.L loi)J.]X)tv..s IV S'C'ReeXf /r?oO?? <br />BUILDING SIZE JJ/''i}3 I SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />\gJ BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br /> <br />ENERGY FORMS. <br /> <br />(-----_______ PERMITS llEQUESTED <br />i"/tJ .--------, <br />~ ;: _ " ~LUATION OF TOTAL CONST <br />-~-- <br /> <br />AMP SERVICE <br /> <br />D <br /> <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 />D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />COMPANY <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br /> <br />.. <br /> <br />STATE CERT OR REGIST # <br /> <br />************************************************** <br /> <br />COMPANY <br /> <br />PLUMBER <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />MECHANICAL <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br /> <br />************************************************ <br /> <br />C> <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />d$..t; \)i t'\/~j) <br />. '^''' ~V\ ~ fiA <br /> <br />s ~r(')':'R J t,...{j/ ~ ~vJ,) '':> <br />'21- '2. I' 2::;. f' ~ <br />