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<br />'-U . - t/f.' 1/ VI 11 <br />, ;:: {\ n\ I r I iJ . ( <br /> <br />CITY dt ZEPHYRHILLS ~J!i}(M.J.'.1' .ft,.r.r.L.I.L"'.n,~~""'" <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 ('j _,'7... "),-"'). - <br />DATE RECEIVED rlJC/ z:~ <br /> <br />PHONE CONTACT FOR PERMITTIN~ ?SZ" . 2.7&?' /,')Y g <br /> <br />OWNER' s N~E'5T (;1ks /7.=-r f\J /0(1) rJ <br />JOB ADDRESS~C;7,'? L/ G I') '-L _ It3 L j D <br /> <br />PHONE <br /> <br />Z t;r(t-cjr/Jil i (" <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I~ # I /-;.)j~~;l,- CX) I (\-:J...6CC -0 2-00 <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />WORK PROPSED: urNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />[J REPAIR <br /> <br />o INSTALL <br /> <br />oSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNI'l'S <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />OVAL <br /> <br />~ ~ ~ <br />>TI I'J LL. L {= -{ I AYSI DlZr. <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 iPRMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. i.r ~ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. 5U.~ ,1~\jJ\... <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />[] ~'~I~d'r~GWr $ <br /> <br />_ PERMITS REQUESTED <br />d' <br />3 ~ <br />_ ,I (){) VALUATION OF TOTAL CONSTRUCTION <br />/ <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o 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 /> <br />SIGNATUy.E"'/ _//> . . / / <br />// .r . <br /> <br />COMPANyOCh tt)^;tC,;~ t-Jr /'l/)C!4- <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 />