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<br />CI~Y OF ZEPHYRHILLS PERM~T A~~L~~ATiU~ <br />BU~LDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />/_ y-o~ <br /> <br />PHONE CONTAC~ FOR PBRHI"';IN~- :,$0 - ~ 6 <t <br />-~~ <br /> <br />OWNER'S NAME (:- I TY 6 -p- 2. t::pH yflJ-ldl~ <br />JOB ADDRESS 'erJ-1 571'-e..~r 1-- ~7f' j-v--R.. <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br />WORK PROPSED: ~NEW CONSTRUCTION <br />Os I GN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />SCOMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICEl <br /> <br />o ADDITION <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <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 /> <br />DESCRIPTION OF WORK j..) C=-W ~t::::5J'J1.(P"'I-ts.. <br />-3 ,;~J"D <br />BUILDING SIZE $ ~8 C.s ?r SQUARE FOOTAGE '700 S'7/'- <br />, <br /> <br />HEIGHT 17 /- U <br /> <br />rn- BUILDING <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 ENERGYF.:-OfMS., -I- .t <br />I F SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ' //..t ,-1. U ~ / 6 ~ c [~ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.,~~;t,. ,-),~~ <br /> <br />? ,4 c -r/~j .'2';";1/ ,~~ -C ;;- ~ <br />PERMITS REQUESTED / "~~ ~ '?~ ~ i~ <br /> <br />$ /: 1/." oC:>CJ. olD VALUATION OF TOTAL CONSTRUCTION /?~ j='"/Jl.{ 7'tt <br /> <br />AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />~ ,~ no f\bC- ~a p? EX \1 <br />~~.. ccrnt-..-~.~r-1'1t:- <br />VALUATION OF MECHANCIAL INSTALLATION Su..~::>5'5n Z <br />..2~~/seoJ:~ <br />6<o~Z- SU:o ~~..,- <br /> <br />ill ELECTRICAL <br /> <br />ar'PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />u;rROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDER ~. it//') COMPANY !:.-Ycf', ~ "'~4'~ /L~ LV-<.$r'lP~ <br /> <br /> <br />SIGNA;URE~ ~~. ~TATE CERT OR REGIST # e...&-G00/5'79 <br /> <br />*..* *..*..* *.. * * * * * *..* * *.. *..* *.. * * * *... * .._~......... *.. * *.... * * * * . ~Jil <br /> <br /> <br />ELECTRICIAN &ieL COMPANY vA, QV,1i It-I.) t;:/t..-C-Tlt... ~ <br />SIGNATURE ~~/ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br /><0.. - fl.u ~ {1~ <br />t~ "..Ii,;V . <br /> <br />COMPANY l/"'i...J I / / /I~.-!> it? I '-"Ki3(>>( <br />STATE CERT OR REGIST t J C; 2- 0 <br /> <br />(i) <br /> <br />PLUMBER <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 />