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<br />CIrry OF ZEPHYRHILLS PERMl.'!' A.k'.k'l.IJ.l,;J!\.J:.1.U~ <br />BUIILDING DEPARTMENT 5335 8TH st, Zephyrhills, F][.. 33542 <br />813-780-0020 FAX: 813-780-Q021 <br /> <br />DATE RECEIVED <br /> <br />/- /~-O(, <br /> <br />PHONE CONTACT FOR PERMITTING 613,-7/l..(-08/J <br /> <br />OWNER'S NAME 7QSCO C:u.n40 4857 ?lut'Vl S~ Lafld T(us-+ PHONE <br />JOB ADDRESS 4-8C>7 Hu.m .5+, Z-efh~(h\ \ \ S I fL . 33S<..J'2.. <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />PARCEL I D It 1'-\ 2 (0 '2 \ cc> I 0(')"3(,00 (1)0 I () <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />Os I GN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <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 />Olt OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE Hm <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />.50rv') c.~ ~~o..",~e... \A\>~(o..de. <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 />~)' {).u....fu(!)(\Z . <br />~ "/~ CuYnJU- <br />- ~ v.u.. ~~( <br />l~ '\<"\ . <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />9d' ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ \300.00 <br />200 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />ti' <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION:)Q BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />[:'~~~"~~~=-~~~~ ~~~ - ~-~~ ~-~~~ ~~ -- ~--- -~--~~=-==: -~- -~- ~~- --=-- ---~-~-- ~-~:_- ,~_:~~-~ -- - - - -'~\~-~I~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST It <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY Co.(los 6,1"10.(+1 fle.z.. Elec:~, <br />STATE CERT OR REGIST # [.(.(300'2. L.. '1... '5 <br /> <br />In@ <br /> <br />****************************************************************** <br /> <br />ELECT ICIAN <br /> <br />**************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br />