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<br />CIrr'Y OF ZEPHYRHILLS PERMJ.'l' Ak'k'L.ll;,R.'J:..LU~ <br />BUI'LDING DEPARTMENT 5335 8TH st, Zephyrhills, ~L 33542 <br />813-780-0020 FAX: 813-780-0021 .1 I <br />DA,TE RECEIVED ~3 0<.0 <br />~ <br />PHONE GONTACT FOR PERMITTING ~\~ 3\0 ~l..\9.:> <br /> <br />OWNER'S NAME <br /> <br />L(Jv...i~ <br />3~7)Y <br /> <br />R Fe <br />/IJ rJ r, t " <br /> <br />" /f2\~ <br />rrl 5 ~ <br />A-u--e <br /> <br />r-e("(\'5 <br /> <br />PHONE <br /> <br />gr3 - 7) S - I 9/ ? <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # il-d<C-~\- OOIO-()4~60~ OlIO <br />WORK PROPSED: ~EW CONSTRUCTION o ADDITION <br />DSIGN 0 MOVE <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE Hm <br />o OTHER <br /> <br />D <br />DESCRIPTION OF WORK J V\ ~ of ~ II <br />~X){) <br /> <br />BUILDING SIZE <br /> <br />RESTAURANT & HEALTH DEPARTMENT APrROVAL <br /> <br />LA it' 1'1 +7 B~\) ~'\ VLJ .' <br />SQUARE FOOTAGE to. <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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />t5. BUILDING <br /> <br />$J '7 7 fo I S" 3 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <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 />~"""-~-'T ,_..,. _pO ---.-~.-~._. " .... --... . .. i--- ~--~-~- --' -- - -'r" ...... . .- -- -- . ,'- "",--"--"" <br /> <br />, , ' I 1'1 I <br />Ii I I I[ \ <' I ' '1 <br />_......,...._~____~_= _~~_____4 ~ ~~_~__ _ ____..........~_ ~~_________ - __ - ___ _____~~_______ -~~~------~~ :..1--- <br /> <br />r ~.:::>/V <br />BUILDER \.(?V <br />, CJ -:-j) n ("IV"/" ~ <br />SIGNATURE 77~ J:Y.~ <br /> <br />COMPANY l-Vr............o rn. !"V\ . ^ <br /> <br />STATE CERT OR REGIST i <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <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 />