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<br />.. <br /> <br />CITY OF ZEPHYRHILLS PERMlT A~~L~~a~~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 />8J~?ffJS <br />DATE RECEIVED /1 <br />PERMITTINU IJ) 7/1---'1 z 7 ( <br /> <br />OWNER'S NAME1)AU( [) W,,1oHNSoAJ <br />JOB ADDRESS ;; 715 0 Pt~~6rT? M/U j}-tf(i:-. Z-Hlf..-t.-~, Ft.. <br />J ' ~ <br />LEGAL DESCRIPTION: LOT(Sl( BLOCK SUBDIVISION,')/LIIERoltK<;t!lL/.A6E L <br />PARCEL 10 # (?~ -1.~-Z{-ot..ZO~OOPo-o ..{)Ot{O (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPSED: '~ CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR 0 INSTALL <br /> <br />PHONE <br /> <br />(j/2)f'Z3 -tJ973 <br /> <br />OS~ <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <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 />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />BUILDING SIZE <br /> <br />OF WORK 51 N0c.,EFItn1 {f-. V D 06U-I I\J 0 . <br />11- r 1'1f1 I /J <br />tU )( . SQUARE FOOTAGE ~ (:;o?f :7(> (::Vi <br /> <br />HEIGHT / <br /> <br />OJ' <br /> <br />DESCRIPTION <br /> <br />o BUILDING <br /> <br />Ai PERMITS REQUESTED <br />$ -r / o. 000. t:J t? VALUATION OF TOTAL CONSTRUC IQ <br />, <br />t-tJO AMP SERVICE ~ogress Energy <br /> <br /> <br />.,.--- <br />~.../'''~ <br /></;;:v <br />:, /(J) f'.- <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 />o ELECTRICAL <br />~LUMBING <br />o MECHANICAL $ 1; tJOttJ, 00 <br />o GAS ~OFING 0 SPECIALTY <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br />~RAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~ <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />TATE CERT OR REGIST # C-- 6-(, oft? 0 3/~ <br /> <br />************** ************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE ~~~~ <br /> <br />COMPANY_~""V; e..8te~~ ~L'" C <br />, - <br /> <br />STATE CERT OR REGIST # [e, \500\'3 S'J <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br /> <br />'- \:~ \\ ' .......... <br />COMPANC ~"L\,,-~, <..... \l\,-)'\\\\\l.~~ ~,~~~<::::: "- <br />STATE CERT OR REGIST# ~~ \ Lt~<"~\:'\--:::J <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />* * * * * * * * * * * * * * * * ** * *"* * * * * * * * * * * * * *** ~ * * * *.* * * -1(* * * * * * * <br />. COMPANY Z' t>-1V~~ 5 <br /> <br />~ l)-O JJr~ <br /> <br />STATE CERT OR REGIST # <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />