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<br />CITY OF ZEI?HYRHILLS I?ERMl'~' A.I:'.I:'LJ.L..I\:.I:.a.V1.'\I <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />. 813-780-0020 FAX: 813-780-0021 8- J -05 <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING it> ~9o 7- <}I77 <br /> <br />OWNER'S NAME <br /> <br />P evtv'L '-1 <br />5/47 <br /> <br />G-"c e.e../J <br />/0 -+h sfc <br /> <br />PHONE <br /> <br />fl'3- 7??-;Zo;Z({ <br /> <br />h <br /> <br />'2.. ~Ph '1 rl },// ( s <br />BLOCK 10,'( <br /> <br />, -fr, '3 35' y:L- <br />, <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />/ I .2..0 ;;1...1 00 10 19 lfoo 00 50 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />Q(I.~S'rALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: 0 SGL 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 />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Fev1 C~ ..liVs-f. <br /> <br /> <br />HEIGHT <br /> <br />t/ <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS <br />PROPERTY SURVEY REQUIRED FOR ALL NEW <br /> <br />NS <br />) SET ENERGY <br />REQUIRED. <br />CONSTRUCTION. <br /> <br /> <br />FORMS. <br /> <br />$ <br /> <br />:21 .I( DD <br /> <br />---- <br />'---c:_ <br /> <br /> <br />PERMITS REQUESTED <br /> <br />j( i11q <br /> <br />""f! BUILDING <br />o ELECTRICAL <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 PLUMBING <br />o MECHANICAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <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 AREAO YES 0 NO <br /> <br /> <br />-BUILDER fb-tc.e.. C,p""T'{(;.c T;.~<- <br /> <br />COMPANY <br /> <br />SIGNATURE cA-L fA c>1" (J.,,,,...v.' <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <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 />STATE CERT OR REGIST I <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST I <br />