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<br />CITY OF ZEPHYRHILLS PERM~T A~~~~~~~~u~ <br />BUILDING DEPARTMENT 5335 STH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:S13-7S0-0021 <br /> <br />DATE RECEIVED <br /> <br />'7 /2 7{~ <br /> <br />PHONE CONTACT FOR PERMITTING 'iSl s '} 8' 2 q~1cJ7 <br /> <br />OWNER' S NAME~t\SQ0 ~OlivJzl O...tIC' \Gi <br />JOB ADDRESS 31 k I ~ <;;;., e 's- 4 "71' ~l{ r ~1 I Ll \ <br /> <br />PHONE ?S I '3 ? g l q ~to 7 <br />J~ I <br />IL ~~S-( L <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH <br />DESCRIPTION OF WORK lJij~ !rQYL1Jp <br />BUILDING SIZE 8" ( t.. 3,lc/ <br /> <br />DEPARTMENT APPROVAL <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT 12/1 <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET <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 /> <br /> PERMITS REQUESTED <br />~UILDING $ IS-cr~l'\) VALUATION OF TOTAL CONSTRUCTION <br />~LECTRICAL 3'0 AMP SERVICE ~ Progress Energy 0 W.R.E.C. <br />o PLUMBING 5:2.. ,,> 0 ,~, <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION 3 5.00 Flee <br />o GAS o ROOFING o SPECIALTY 0 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 AREAD YES 0 NO <br /> <br /> <br />BUILDER ~ <br />SIGNATURE da- tl(/~ <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************** <br /> <br /> <br />****************** <br /> <br />ELECTRIC~ I ;J <br />SIGNATURE ~ t~C:{{ <br /> <br />COM PAN <br /> <br />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 />