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<br />CITY OF ZEPHYRHILLS PERMlT A~~~~L~~~V~ <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL :33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />------ <br />---:J- -05 <br />DATE RECEIVED ~ <br />1/. J I t ~ b?-C> 'l'"l- <br />PERMITTING <lb3~t::t>q ,9\>39 <br /> <br />~M~~ Q,i~~4 <br /> <br />~'Zl ~~~-( k,\\ Oi ' <br /> <br />LEGAL DESCRIPTION: LOT(S) \1 <br />PARCEL 10 # \ /} ,.1b~l..,) '61~. O~b,...~\ \b. <br />I <br /> <br />OWNER'S NAME <br /> <br />S\"5-1~2'D/4, <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />BLOCK <br /> <br />, l{\\ <br />SUBDIVISION ~'<'c-..I"'c\~;r <br /> <br />IOBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />o SIGN <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 />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-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 />V~~T~~:A~AP\~;~X lc>~ <br /> <br />BUILDING SIZE <br /> <br />\0)(0 <br /> <br />SQUARE FOOTAGE <br /> <br />qo <br /> <br />)11. ) <br />HEIGHT -Ll> <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 CONSTRUCT I .' .-.0 L tj) ~ . <br /> <br />. fc;7 I") ()) <br />PERMITS REQUESTED <br /> <br />~BUILDING <br />D ELECTRICAL <br /> <br />$ 7,3 ~'bJ6 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy [] <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK kRAME <br />, '"' Jj <br />FINISHED FLOOR ELEVATIONS \~ <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER ~ ~ 1 ~ COMPANY <br />SIGNATURE -1'---b--.)~ ~ STATE CERT OR REGIST * cRLD:":b9L1 <br />*******************************************************'k********** <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY <br /> <br />ELECTRICI <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 />