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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 />gr;9 ks <br /> <br />. , <br /> <br />PHONE CONTACT FOR PERMITTING ,1.2 7- :>'9/- S-S- '5-S- <br /> <br />OWNER'S NAME <br /> <br />r- 1ft ~ ( <br />,//( 'CA/d /4/x / <br />ej-J? 3c' 84ft (3/1/ d <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <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 ~'INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS <br />?OMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK 0CA-cc,-c ~)( h-tLf <<; -f #ODd 7,;1" y,:;;'71:'X;{..::;/'!t/t: /54 qAII~, <br />, J <br />SQUARE FOOTAGE HEIGHT <br /> <br />o MOBILE HOME <br /> <br />o OTHER <br /> <br />BUILDING SIZE <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~ S _ 577?::> <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. C /)1)3~ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~~ <br />, 4~ 00 <br /> <br />PERMITS REQUESTED .('l! t:/ ,80 )) <br /> <br />o BUILDING $ 0<;/ de.... 0 D VALUATION OF TOTAL CONSTRUCTION \ 0 .{ <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy [] <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />~ECHANICAL <br />o GAS 0 ROOFING <br /> <br />'0 SPECIALTY <br /> <br />VALUATION OF <br />o OTHER <br /> <br />MECHANCIAL INSTALLATION % L{ ~~ {f <br /> <br />$ d /-3~roD <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 />I S PROJECT IN FLOOD ZONE: AREA 0 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 />*******************************************************'k********* <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY ~ j( PL /) I-A ~o A /..e <br /> <br />STATE CERT OR REGIST # C.'5-C 0 /D ..:5-.s-~)- <br /> <br />OTHER <br />