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<br />CITY OF ZEPHYRHILLS 1'J!j.t<M~ .~. .6rr.L.I.J.'-'~~ ..&."... <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, Fl. 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />!-tJ.?# 05 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PHONE CONTACT FOR PERMITTING l-ca(o(o-&~&.f~71Cf"; <br />'Ptt.,to H!r....;r S...rv. <br /> <br />PHONE aJ.lL..I.7 '1zth;]{~ <br />ctf t-t/.""f11~.5'(j~ ~ <br />~ ~,......'? &.&If~ <br />SUBDIVISION (p .:-RL.' . <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />OWNER' S NAM~OMM~e("t..5D1"l <br />JOB ADDRESS '~O 3~ 7'f'... ;3.t. <br /> <br />PARCEL II:! # Il~ .2("-~I- 0010 ~ ,:;J,070D .;..C>;;2.1 0 <br /> <br />o SIGN <br /> <br />00 ADDITION <br />o MOVE <br /> <br />OALTERATlON <br /> <br />[J REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />PQ.COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNI'rS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM] <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAl, <br />DESCRIPTION OF WORK AllA.W'l i \1 W l'\L, ~ I a.ss ~ <br />BUILDING SIZE q 'x.. ('8" ' SQUARE FOOTAGE l~;;t ,4t <br /> <br />HEIGHT see r~s <br /> <br />RESIDENTIAL: ATTACH (2) PLOT <br /> <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />IF SIGN <br /> <br />PERMITS <br /> <br />~ BUILDING <br />~ ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ '5"'500, r;O <br /> <br />VALUATION OF TOTAL CO <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy. 0 w.!.E&J~1W <br /> <br />\)(l\U \j1~qv <br /> <br />MECHANCIAL INSTALLr;ION ~~f\ <br /> <br />~ \ 1,\ Ii)" ~, <br /> <br />o OTHER <br /> <br />$ <br /> <br />VALUATION OF <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 />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />~-' A\ <br />g COMPANY . J. ~ l.U"\'\\n",-""",-, ..:J .~"tITL <br />. ~'? ' /J /50 l'" &-.pC <br />SIGNATURE 'r /y~. ;yvY'<-IM STATE CERT OR REGIST * - <br />11"\ tC", m;.) /X->J!)LJ2... <br />* * * * * * * * ** ** * * * * * * * * * * * * * * * ** * * * ** * * * *** * * * * ** * * ;.;,* * * * * ** * * *h ~ i- rilE- <br /> <br /> <br />ELECTRICIAN :it'!' # '1071 ttlr~~~NY Rees~fl t;:t~c:tt;<- """,,"" <br /> <br />SIGNATURE ~ ;t1xt;;. iP'r- STATE CERT OR REGIST * <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 />