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<br />CITY OF ZEPHYRHILLS !:'.I:!l}(MJ. ..1' ,'U...I:'......'-'~.&. ~......... <br />BUILDING DEPARTMENT 5335 STH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX:S13-7S0-0021 <br /> <br />DATE RECE lVED <br /> <br />~_/-o S- <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME J,"rY\ Me. M ILl I f7Y\. <br />JOB ADDRESS 37&,;).U elA.-ko.t'V\ "Dr. <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION cQr'aAd lfori"Z..D"'5 <br /> <br />PARCEL ID # 3'j-';Ui-;U-DD'10-DOOOO-Ol'BD <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />OSIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />JijALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ~ VIVllj\ <br />BUILDING SIZE ~ <br /> <br />wfYldnws -6 ex!'stmg <.SCreen ~ <br />SQUARE FOOTAGE 1'14? 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 ENERGikYRMS, <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED, ' <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION <br />"'7 . - ,:::, ':,) . \ "'E: <br />) . Ovy., <br /> <br />PERMITS REQUESTED <br /> <br />~ BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ 34~L{, 00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <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 AREAO YES 0 NO <br /> <br />~rlmr;;;;;ii''"'-r':m:'7l'Slrc::m~~'"'I'''\':'"''''i':11I'"':[-----~-- --1-17,~'-:r.-?r7----;1"'~~i';'f''1~ii1Ci..l , ft,,' I~ '" <br />~_~~~~!ili!ii~~~~L__--. .._ ._ .____. ~__ _ _,_~~~JJtlt!~f~i:~~~'i!~'~~~", .kffi{~~~~~, .: <br /> <br />BUILDER COMPANY~ r'.s A 1L.t.l.N\lt'\u.......... ,3 "'-c.... <br /> <br />SIGNATUR STATE CERT OR REGIST # <br /> <br /> <br />******************** ********************************************* <br /> <br />ELECTRICIAN COMPANY <br /> <br />SIGNATURE 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 />