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<br />CITY OF ZEPHYRHILLS PERMIT A~~~~~^~~U" <br />BUILDING DEPARTMENT 5335 8TH St, ZephyrhillS, FL 33542 <br />. 813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />?-I-()~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME g'l d -+OLDV\ C \j;lI\.) C( A.lo~t C~Q1i'()'... <br />JOB ADORE S S ..5 ~ .9- L Ga.-U R \ I) d <br /> <br />PHONE. ql~ 1. <gf:J-<:;s-;;;.1 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br />WORK PROPSED: 0 NEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />OALTERATION ~ REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />-..g) 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 />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />3~ (L. --i.+o--J,J. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <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 CONSTRUCTIO~ ~ ~ <br />"" f- <br /> <br />f+.N.~ <br />J - <br /> <br /> <br /> <br />o BUILDING $ <br />o ELECTRICAL AMP SERVICE 0 W.R.E.C. <br />o PLUMBING <br />o MECHANICAL $ VALUATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br />TYPE OF CONSTRUCTION: 0 BLOCK 0 FRAME 0 STEEL o OTHER /1 <br />FINISHED FLOOR ELEVATIONS IS PROJECT <br /> <br />r~ . ~ (~I I <br />t'lJu LDER /. A' . COMP~,"L- -..J<>,"<-.-<1 '-< ",g nT"r <br />1-~/sIGNAT~t /;u/}"'l1./~ . S.TA~E ~~RJ)lR REGIST i cceosif.r1$) <br />_ /_\ _ HHHH"H'H'HHH'HHHHHHH~I~dP.f{.<.f.~61t.<6t.. <br /> <br />1~'! :::::::AN J4 lv, /3~ :::::N:E::~:~~ iE~c;~~~~!3 p 3 <br /> <br />*****************************************************~************ <br /> <br />i)~~=:RE {~JJ 4-/ <br /> <br /> <br />'---~HANICAL <br /> <br />COMPANY OI/2.is I3A-I~1( fLa.IJ1/J,'pt, <br /> <br />STATE CERT OR REGIST # (!. Fe- I St2.;b lfgoJ... <br /> <br />*******************************~*****************************~**** <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 />