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<br />CITY OF ZEPHYRHILLS PERMIT ~PL~CATION <br />BUILDING DEPARTMENT 5335 aTB St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 . <br />DATE RECE lVEO <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />O~NER' S, NAME . (Yl ~ ro.... <br />JOB ADDRESS 3 d.. ~;z <br /> <br />+< i d <<.Je-d PHONE 'bIY 5'15- NOD; <br />J ~ ST. /" 2.ephYf\ hi tlsl f!-j. 3.35<-(2 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />J/-Jb-81 -OO(O-/Q<gOO-D62fO <br /> <br />BLOCK <br /> <br />PARCEL ID If <br /> <br />SUBDIVISION <br />tORTAIN FRO~ PROPERTY TAX NOTICEI <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br />. OSIGN <br /> <br />[J ADDITION <br />, 0 MOVE <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />OMULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[J1f OF UNITS <br />[JSWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />~F_- K.ctJ F <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 CONSTRUCTION. <br /> <br />[J BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />'l7c t <br />/ <br /> <br />PERMI'rS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />[J. PLUMBING <br />_! 0' MECHA~UCAL . $ <br />[J GAS '~I~G I': 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />[] OTHER <br /> <br />TYPE OF, CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />[] STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES D NO <br /> <br />)." <br /> <br />COWrRACTOI(~1 SECt'tON <br />.!.;....;...,':~~ ;.., 1.. -..k~":-..~ ....;-:I.t.: jJ1.:.~."~ ..,......:'~ . '. .... _.; '.' ..', ,- >,(:.t... '." <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 If <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST If <br /> <br />MECHANICAL <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST If <br /> <br />***************************************************************** <br /> <br />OTHER p& D s~ <br />SIGNATURE. ~ <br /> <br />COMPANY pc;u) I 5c.hap e1 Roo~ ~ ~ IJtt: <br />STATE CERT OR REGIST If Gce 05 Z J3 c; <br />