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<br />OWNER'S NAME C f~----Ll z i"t1~h:lt <br />JOB ADDRESS ''39 i./,;! .')n~ Ii, . thH'JA.I1-L <br /> <br />CI~Y OF ZEPHYRHILLS PERM~T A~~~~~a~~uu <br />BUI~ING DEPARTMENT 5335 aTH st, Zephyrhills, FL 33542 <br />,813-780-0020 FAX: 8, 13-780-0021 , / () "'"' <br />DATE RECEIVED - ' rrtK.e.. <br />S k(Y\e '~ Pelf~. 'i Sev iJi t .L <br />PHONE CONTACT FOR PERMITTING f(/.3 - ~ ~ 7 -If 3 7 <br />, (etf (}-7-~37 <br />T ,q.f ,:J- 3'/ - t>7 y-V <br />PHONE r:J- lfj()-ood..:J. <br />H-~ 13 - 7YCh 00';-,- <br />, 2-< ~1..hj!.s ;-1 3Jf7./~ ' <br />7 I . <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL 10 if: /1-J.v.~J../- ()OOO - Iic(9tJ()- "boo <br />WORK PROPSED: ~NEW CONSTRUCTION DADDITION <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />o SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-'FAMILY <br />D INDUSTRIAL <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HO~ <br />DOTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APfROVAL <br />DESCRIPTION OF WORK v;J1:la':/;aJ? J-l~( bv;/d"Nj <br />BUILDING SIZE SfC? 'fIr-V SQUARE FOOTAGE 1.J.,d'J~0 <br /> <br />r <br />// / e' <br />HEIGHT/V ~ <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 />I No\ I~"*' ~ <br /> <br />\-..JOG ~~d <br /> <br />PERMITS REQUESTED <br /> <br />ti BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />D MECHANICAL <br /> <br />$ /()~ 971.()U <br />. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />P~V\tlhw:- tJh~ <br /> <br />~ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />~STEEL <br /> <br />. 0 OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />fit e. S'. PoL. <br />ik", j SvVLU ~ ~ <br />. ?r_cw"t ~ C~"p' <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />A,,(o Jf <br />l~oS <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST if: <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST if: <br /> <br />***********************************~********~****~*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />