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<br />CITY OF ZEPHYRHILLS J:'.t!i.t<MJ. 'J." .l\.J:"J:".....~"-'.n.... ....."'... <br />BUILDING DEPARTMENT 53. 35 8TH st, Zephyrhills, FL 33542~ <br />813-780-0020 FAX: 813-780-0021 ~ ~~ <br />DATE RECEIVED H VfJ <br />M~~-?' ,/-:2-5011> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ~.Y 1!/9~/1t[s" <br />JOB ADDRESS 56';2 1&vf?~' C/. <br />LEGAL DESCRIPTION: LOT (S) CJ'770 BLOCK tJ()tJOO <br />PARCEL 10 # /.2 -Z$ ~ :2 j- ClJ/O-aJaX} - tJ'17cJ <br /> <br />PHONE flJ - "7 f;2 - ? 71.~ <br /> <br />SUBDIVISION 0 .3}cJ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br /> <br />[]ADDITION <br /> <br />[]ALTERATION <br /> <br />[] REPAIR <br /> <br />$ INSTALL <br /> <br />[] SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[]it OF UNITS <br />J21SWIMMING POOL <br /> <br />[] MOBILE HOMJ <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ..27> ~,.:./ / , ,..M7I~ Ou? Crt-<' ,<t SW'! '".-."" · ''''J /i, / ,..,;./ j ?'" <br />7' <br />BUILDING SIZE SQUARE FOOTAGE 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. rY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED, · I ~ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, jl~ ~l?l/ <br /> <br /> <br />PERMITS REQUESTED '-1- ~ .t- <br />aBUILDING $ :> 2, t??I" VALUATION OF TOTAL CONSTRUCTP.Ai~~ p>J. ,.j I <br />.1<1 ELECTRICAL AMP SERVICE 0 Progress EnergyV~;: J,ti J. E ,c~j il~ <br />d"I PLUMBING ~. to 'f1J"f <br />[] ~~ <br />MECHANICAL $ VALUATION OF MECHANCIAL INST~LLATION <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />JLl ')Y~~f)l <br />~)-{{ ~J~ l.-).>~~~ <br />A~~ ~YE~"'2--~6 <br /> <br />o GAS <br /> <br />[] ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE <br /> <br /> <br />BUILDER <br /> <br />.~~ <br />SIGNATURE ~ <br /> <br />****************************************************.************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />IIlIwt(~s <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST it <br /> <br />****************************************************************** <br /> <br />PLUMBER <br />SIGNATURE ~ <br /> <br />COMPANY ~~~1.{"Ab' he. ' <br />STATE CERT OR REGIST # ~ /7'56'/' PI <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST it <br /> <br />SIGNATURE <br /> <br /> <br />********************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />f;riT> <br />