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<br />CIrry OF ZEPHYRHILLS PERM.L'J.' At't'.lJ.LL;I"..l.".1.UJ.-. <br />BUn.J)ING DEPARTMENT 5335 8TH st, Zephyrhills, Fl. 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER' S NAME SA! IJ'; (,i) IJ. :r 1J / /7;0 V 11 ,v,(/' i &AA GK - 6 iJ E 2"HONE ~13 - -7/S - #0/, (, <br />JOB ADDRESS 6:2;)~ J<; TI<c0:Z$f?I-{f//f H/Lt~ ~ F t- 63SV 2- <br />- <br /> <br />SUBDIVISION () I C; 0 <br /> <br />LEGAL DESCRIPTION: LOT (S) 0 Lt ~ () BLOCK I~ 0 no () <br />PARCEL ID # O:J..-J.,,(;-:2/-()[qo -ODDI?O'- C)4-JO <br /> <br />IOBTAIN FROM PROPERTY , TAX NOTICEl <br /> <br />WORK PROPSED: o NEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL <br /> OSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0, OF UNITS o MOBILE Hm <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br />DESCRIPTION OF WORK A. E. It 00 F <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE I {} h. ((. <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$I.~IJ() <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL $ <br />o GAS "ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: II BLOCK <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 'NO <br /> <br />L~" '-I',~--~__~_~~_~~=~~~~~__~~_~~.~___~~-~= . .-=-_i-~~~___~~_~---_-~____~_!~--~-~~~~~~~ <br /> <br />BUILDER <br /> <br /> <br />COMPANY it () M () ()}"v e ;2... <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 i <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************~****i*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br />