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<br />CITY OF ZEPHYRHILLS PERM~ '1' A.I:'.I:'.LI.LL.H..',LLVL't <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhillsl FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />~' -S--()s- <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME 'PC\. t V I '( <br />JOB ADDRESS 38" 2- L ~ <br /> <br />,--:- <br /> <br />I .~ ( \' 11\ J e y <br />Lj I-t-. A U( <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />/(- 'L1c- 2/ -00 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />- I <ir 10 0 - e I q&BTAIN FROM PROPERTY TAX NOTICE I <br /> <br />WORK PROPSED: ONEW 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 />At YOUr 1"3 5'( l-// 3D Vetll,r CAr=- T('A,"dx'r-!tMJ <br />( / <br />SQUARE FOOTAGE HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY <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 / -{ 11q& <br />VALUATION OF TOTAL CONSTRUC~ <br /> <br />FORMS. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />2tbo,ou <br />.' <br /> <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy [J <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 AREAD YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <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 />OTlfERf1~. COMPA"y,~ill?/..ciIUH J?oo/;ky <br />SIGNATURE__ ~ STATE CERT OR REGIST # ('('(" Or 7;7) 1 <br />