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<br />DATE RECEIVED 1- ~ ~'O-';- <br />PHONE CONTACT FOR PERMITTING C/(';2...tJ~1'1 \'0 it <br />JQ 91?/~lz~~l1~5/5-Dr;;;' <br />OWNER'S NAME ,-~A Y1 + (~n n'J Fe. r Pa! rh e.r PHONE ~ 1783 -7.5 Ite? <br />JOB ADDRESS ' 5' 1,:;/1 l'i f!l- sf. .z. etJA v ;--.}/I/ Is', ~ I- ' "53 542- <br />'5 0<< t4 Y'7- 0 t to ' I / I j,' , <br />LEGAL DESCRIPTION: LOT(S) ~ '6) '] BLOCK 4~ SUBDIVISION/:>~v a-f' Ze(l"yr )/s <br />PARCEL ID it II - ;J.. ~ -,A I - 00 I 0 ~ ().i.( (),. 0 V'- lJa 70 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />CITY OF ZEPHYRHILLS !:'J:!A!<M.L'.L' .n.rr,LU.'-'roL.&.......,... <br />BUILDING DEPARTMENT 5335 STH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX:S13-7S0-0021 <br /> <br />WORK PROPSED: ~'NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0* OF UNITS <br />~ SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />,/' <br /> <br />BUILDING SIZE <br /> <br /> <br />'J ..- <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />(l)lkET ENE~GY FORMS. <br />#!: 2-).-::::' l~ & <br /> <br />""2 - .;;= ~c <br />.,), <br /> <br />'~5.~ fLV;./?' <br /> <br />(lK <br /> <br />DESCRIPTION OF WORK <br /> <br />I: <br /> <br />"'0' <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENEft6 <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIR~JY."" J <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONST~~~ N. <br />/ ( <br /> <br />~ BUILDING <br /> <br />~ELECTRICAL <br />f <br />~. PLUMBING <br /> <br />o MECHANICAL <br /> <br />;gJ CJ11 PERMITS <br />,~-"-'---z't:i' n \29" <br />$ J:..~3'--d-+'1 VALUATION OF <br /> <br />i <br />( <br />REQUESTED <br /> <br /> <br />AMP <br /> <br />SERVICE 0 Progress Energy 0 <br /> <br />'5:fV">WJ 14tA?J!JZ ~ fVvfyLl rr <br />VALUATION 6Fo,,~H2JcIA: ~AL1:A N: 1-/ /~? <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />0 OTHER / f,L ,go / <br />0 FRAME 0 STEEL t:/ <br />OTHE /' <br /> IS PROJECT IN /ZONE ARE).CJ YES ~ NO <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUIIDER ~ COMPANY ,r:./-ro L"o<Jlr1lnL ,/ <br />SIGNATURE //:_/ p ~ STATE CERT OR REGIST i C I't! ~/'f(,/I~ <br />~~************************************************************** <br />ELECTRIClf':-J /J /J / / ,~x: COMPANY 4:)"'<"7" coA~ r ~c.Z"<'/ &. L/ <br />SIGNATUREl/:;{~~? STATE . al'3ol:l~O <br />*************************************41 <br /> <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY ~ 17 [) ~!s I Ih <- <br />STATE CERT OR REGIST # C f/( t!J (56!? <br /> <br />PLUMBER <br /> <br />ME CHAN I <br /> <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 />