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<br />CITY OF ZEPHYRHILLS PERMI'l' A.I:'.I:'J....1L.l'\:.L".1.vJ.'I <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />. 813-780-0020 FAX: 813-780-0021 <br /> <br />DATE: RECEIVED <br /> <br />~js <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME )!tcl.-JA/I( K S0 c)~ <br />JOB ADDRESS l i g-;Z 1/";6 ff'-lU! t1~... "- <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PHONE '6) # ~ -119- Cltt5/ <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL 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 />BUILDING SIZE <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />~!Z.",Ji d()O:1L I . (} ~- (i!2,ff <br /> <br />SQUARE FOOTAGE <br /> <br />DESCRIPTION OF WORK <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET <br />~pRMS . <br />II !il-, ~.C <br /> <br />ENERGY FORMS. <br /> <br /> PERMITS REQUESTED 1),1'1)\- -r R~1 51 bN <br />0 BUILDING $ 9w ~ ao ~rn 1/ (>"'V rr <br /> VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL AMP SERVICE 0 Progress Energy [] W.R.E.C. <br />0 PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <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 AREAO YES 0 NO <br /> <br /> <br />BUIlDER ~ ~ <br />SIGNATURE ..~. C!.-at <br /> <br />COMPANY <br /> <br />~-Y <br />I <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 />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 />