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<br />CITY OF ZEPHYRHILLS PE.t<MJ. ..1' I\.rr.LI.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 />4fr/o~--- <br /> <br />PHONE CONTACT FOR PERMITTING g/3 -935-;)-111 uf;J.cf1 <br /> <br />JOB ADDRESS <br /> <br />JD-c-l 5. Ch'A-L066-D <br />S~~L\ <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />~'1r'hi 11~1 FI 339/;;.. <br />SUBDIVISIO~~ <br /> <br />BLOCK t::, l <br /> <br />cf ZifhlV' /11 Jb <br /> <br />(/~ ST. <br /> <br />LEGAL DESCRIPTION: LOT (S) /1 "t- I ~ <br />PARCEL I~ # Iloi";/Ir,Jj- (X)ID-/?>JDO-DI11 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />[] REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <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 HOMJ <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br /> <br />DESCRIPTION OF WORK l D C"vt~ u,.c.:;r /J. <br />BUILDING SIZE .:.s:2 'I.. 58' <br /> <br />~ I~ LJ6 .sp,e. <br />SQUARE FOOTAGE I '7/8 <br /> <br />HEIGHT I <I- I / ./ <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. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />PERMITS REQUESTED <br /> <br />~ BUILDING <br />0" ELECTRICAL <br />~ PLUMBING <br />e( MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />/50 <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />~ROOFING <br /> <br />$ ~ ()CD~OO <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />TYPE OF CONSTRUCTION: 0' BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />,-/)5 J.. <br /> <br />o GAS <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />BUILDER sr:e\Je:0 -A. <br /> <br />SIGNATORE06IVL~,~ STATE CERT OR REGIST iC.~b$7 <br />******************* ********************************************* <br /> <br />ELECTRICIAN <br /> <br />--~ <br /> <br />COMPANY ~1 ~/.)12.. €2ez..::n2..Jc <br />I <br />STATE CERT OR REGIST # ~Lf){)Do.:2./p;). <br /> <br />SIGNATURE <br /> <br />1lZN"1 ~\(,.,.,.,..e.. <br /> <br />********************************************* <br /> <br />COMPA~~/~C;UW ~~.n1~~ <br />STATE CERT OR REGIST #c..FC.~.B3 9 <br /> <br />PLUMBER <br /> <br /> <br />ME CHAN I <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGI ST j:..Ac. D3 IS l <br /> <br />** ************************************************************ <br /> <br /> <br />O"'~~ COMPANY Au.. ~ ~ :u.x.. <br /> <br />SIGNATURE ~~~ ~ STATE C~RT OR REGIST <6fj!i):lb~2 <br />