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<br />~3 CI~Y OF ZEPHYRHILLS PERM~T A~~~~~J~T~U~ <br />BUnDING DEPARTMENT 5335 8TH st, Zephyrhills, Fl, 33542 <br />813-780-0020 FAX: 813-780-0021 . \ I ~ f' <br />DATE RECEIVED 0(0 <br /> <br />PHONE COHTACT FOR ""1lMITTING '6 S~)G to Q,1.j- <br /> <br />OWNER'S NAME i~-v-1L 2-\-h'\QV <br />JOB ADDRESS ~y d-.5 p.e ~\A{,)\- L ('\ <br />LEGAL DESCRI PTION: LOT (S) ~ Y BLOCK <br />PARCEL ID it <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />PHONE <br /> <br />SUBDIVISION ~e.u16- POll"1"\- <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />OJ OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE Hm <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br />DESCRIPTION OF WORK L-~~~ <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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ ltJSO, 00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o ELECTRICAL <br />o PLUMBING <br /> <br />AMP SERVICE <br /> <br />padmE~S ~o pa~ul~d 'padh~ amEN <br /> <br />d "0 a~n~Eu61S <br />~uam6pa1MOU~OB DU1~E~ Uos~a ~ <br /> <br />..... pL, P 0 oqM IJUE <br />q~EO UE a~E~ ~OUPt~ <br />(UOL~Bo.J1~uap1 10 adh~) <br />.' . paonpo:rd SEt{ Ot{M 0 <br /> <br />:ro 'am o~ UMOU~ };11EU08~ad 81 041] <br />(pa6pa1MoU~OB uos:rad JO amEu) <br /> <br />-OZ ' <br />paflpa1MOU~DC! <br /> <br />};q <br />. JO };Ep- 81tnam a:roJaEl <br />SC!M ~uamn~~sUl fiU10fia~of aq~ <br />JlO X~NnO;) <br />vaI~O~JI JlO ~~v~S <br /> <br />padmE4S ~o pa~ul~d 'padh4 amEN <br /> <br />4uama6pa1Mo~~6E 6u1~~~ uos:rad JO a:rn~eu61S <br /> <br />.t{~eo UE a~e~ 40U P1PO P1P OO~M pUE <br />(UOt~ED1~14uapl JO ad};4) <br />. paanpo~d SEq oqMO <br /> <br />:r0, 'am 04 UMOU~ };11EU08~ad 81 ollMO <br /> <br />. . (paDpa1Mou~6E u08~ad JO ,amEU) T <br />nq <br /> <br />~Z I ~o };ep - 81q~ am a::rOJaEl <br /> <br />8EM ~uamn:r48U1 fiu10Da~o~ aq~ <br />pa6pa1Mou~aE JlO X~NnOJ <br /> <br />vaI~O~~ ~~ 3LV~S <br /> <br />~N~~V ~O ~~NMO ;~~nlVN~IS <br />