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<br />CITY OF Zj!;l't1.U~.n.J..1.u...UJ ... ------ <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FI. 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT <br /> <br />DATE RECE lVED t(/ 'I (0 <; <br />, <br /> <br />FOR PEIPASCGGPERMIT SERVICE <br />~';.r~~-- 24-7B94 '. <br />.' ,....' ree <br />PHONE . ',~ <br />Toll Free <br /> <br />JOB ADDRESS <br /> <br />(YJ tL/'ft:L f/e Io..s{ !/fZ <br />9 fA . J .J~f- <br /> <br />5 ~() I <br /> <br />SUBDIVISIOi1~ 61' z-J./-<.JI <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) S t-&, soul}, BLOCK Ii <br />. ftk /)/- u> I- q <br />PARCEL 10 # //-~!r -Jj- OO/() - ()ffbrJ-CX:XS-O <br /> <br />IOBTATN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: 9lsGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOl-' <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT AP?ROVAL <br />SVt--&/l <br />N I ,. 3~ I <br /> <br />rOO'^-. <br /> <br />{ <br /> <br />j; ! (. Ids ro~r1 <br />FOOTAGE 50 <.J I <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <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 ~ORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION. <br /> <br />SQUARE <br /> <br />PERMITS REQUESTED <br /> <br />~ BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />9.. ?OO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER if y~;L g <br /> <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 AREAD YES D NO <br /> <br />;J <br /> <br />~\1,-O: <br /> <br /> <br />COMPANY Owt\lY' <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />******************* <br /> <br />t;:) <br /> <br />~~ <br /> <br />G~C;~ rL~i (\.171) . <br /> <br />SIGNATURE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************.k************** <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 />