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<br />CI~Y OF ZEPHYRHILLS PERM~T A~~L~~RT~U~ <br />BUI'LDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />Dll.TE RECEIVED <br /> <br />, 1 a.. 100 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />~. OWNER'S NAME /~~y /-~_ ~ d/}!'~/J"A <br />- JOB ADDRESS :-:;-/21- /?zl )~~&r <br />'X LEGAL DESCRIPTION: LOT(S) COIO BLOCK /C;~OO <br />- PARCEL ID ft //-~,,?-;:?/.~/7/~ -/J~LJI/-tY/?/~ <br /> <br />PHONE <br /> <br />SUBDIVISION eCy/D <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEI <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION [JADDITION [JALTERATION f,J"REPAIR [J INSTALL <br /> [] SIGN []MOVE [] DEMOLISH Re~~ <br />PROPOSED USE: IBSGL FAMILY DWELLING DMULTI -FAMIL Y Oft OF UNITS [J MOBILE Hm <br /> [J COMMERCIAL [J INDUSTRIAL [J SWIMMING POOL [JOTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />DESCRIPTION OF WORK ~~~~ <br /> <br />BUILDING SIZE JtJ;( ~tl <br /> <br />SQUARE FOOTAGE /~tJtJ. <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 />~- <br />,,",oC - ~i ~ <br />Cc,"",,,rr - CC;'<6' <br />!-XAcJ.(\.t- <br /> <br />_ 0 BUILDING <br /> <br />_$ /9dt1,/J/J <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />[J MECHANICAL $ <br />o GAS ~ ROOFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />[J STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />~'7'I--'~~T-.m_~ ~-- .----.-----.,-. -'PP' r---~------.,-- ---- -- . - ,.. -- -,- - ------.--;---~T' <br />I I'll I I t I ' . I I <br />r J I I I I 'I ~ ' J,' I ' <br />_~_._.__~____~__,________________-__________-_ _,_ _ _____-1-_~-- <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 />, <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 /> <br />~ - <br />. . S-. <br /> <br />::::TURE~<ru- . <br /> <br />4? . lu.---ft-:-'-.L-" <br />COMPANY J./~~"\.. L::c--L~-<~ '-'''i,-, <br />STATE CERT' OR REGIST i('O~' l:s:z.s'qj)~ <br />