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<br />CIrry OF ZEPHYRHILLS PERMl.'.1' AJ:'J:'L.Ll,;,f\"J.'..LUJ.-. <br />BUIiLDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 ~ I <br />D~.TE RECEIVED 'I, 0 ld <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />CHi(t'S ToPf(E~ L5. f3A-HR <br />53/5 0eLTRAM O~. <br /> <br />PHONE 7g g - 2/9 't <br />-=c.- H//(s FL.' <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID if: <br /> <br />12.-;2.., 6 -2./- ()()30-CJo3OCJ- 0 12.0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />mALTERATION <br /> <br />o REPAIR <br /> <br />D INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI -FAMILY <br />o INDUSTRIAL <br /> <br />Oft OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE Hm <br />DOTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br />DESCRIPTION OF WORK f<eWtoJe L tn,'L,'-r/ 6AR.c<,-e M~C{ j Y\To /l1::isTc:/( 6attJ.lt~ <br />BUILDING SIZE If go X ~ 6 SQUARE FOOTAGE /8 <:90 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. NO L <br /> <br />~ BUILDING <br /> <br />~V::~. ";> PERMITS REQUESTED <br /> <br />$ ~ tJtJo ~ VALUATION OF TOTAL CONSTRUCTION <br />,5eJl..VI"'~ u.ffDflad.e .. 0- <br />AMP SERVICE j;g Progress Energy 0 <br />5 ewen.. L,'II,.L t<.e(JlP.~.t\.T., AJJ I 8~H{ <br /> <br />W.R.E.C. <br /> <br />.J3. ELECTRICAL <br />DJ,. PLUMBING <br />o MECHANICAL <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: QI BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOO~ ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 1!a NO <br /> <br />~'~"':-~'T'''''''--- -,-, -,.._~._-_._,.,..--,_.,,--.. -I--~'--~-~--- --- --- - ,... ,'" ..-. -- ---' --,-, " --- -'-~'~"1- <br />], I, ' .] I ' , " , " <br />-~~-~~~~-~~-~---'--.~~--~-----------------~---- ~ --~- - -~--~~--~~~--"-'~ . , <br /> <br />SIGNATURE <br /> <br />. ~" COMPANY <br />. . , ~ /O~~...., <br />~ f,.. ., ~ OR REGIST t <'.~tOG9'1~ <br /> <br /> <br />****************************************************************** <br /> <br />BUILDER <br /> <br /> <br />)i..J.,'-- ,,'" <br />,.:J. ,-'\... <br /> <br />COMPANY $.,,/-1/"'1 ~t'"cPt';c...Jir::.. <br />STATE CERT OR REGIST f pC-/3 0013 $ ~ <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />q..s: )C COMPANY CUrz./<; /3AJ.{f( P LUJv,h//\ 6 <br />STATE CERT OR REGIST it tFC- 14-2 b l./gZ <br /> <br />SIGNATURE <br /> <br />******************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST it <br /> <br />***********************************.********~****~*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br />