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<br />CI~Y OF ZEPHYRHILLS PERM~T A~~~~~AT~U~ <br />BUI'LDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 ~ / <br />DATE RECEIvED ' \ 7 ()(p <br /> <br />PHONE CONTACT FOR PEBHITTING <br /> <br />OWNER'S NAME <br /> <br />1f-A <br />C;r2/ / <br /> <br />V,() rJ 6~ R-,; N <br />J.,-/J..; ~.J .97/Zff (;-7' <br /> <br />PHONE <br /> <br />7~fr~ 99;J- 9 <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION ~ ~~rl... <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID #0;)- #- J-J- DOd-z' - 00300- 06/0 <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />Os I GN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />F;i ADDITION o ALTERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />OMULTI-FAMILY 0# OF UNITS ~OBILE Hm <br />o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />I <br />Ii. rTl N Ct 11 P 1-6 x /2. I (!..,(J /2- Pd f.-7- <br /> <br />BUILDING SI ZE <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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> <br /> ~79DJ () D PERMITS Nb <br />o BUILDING $ VALUATION OF TOTAL COHD~RUCTI "^p ), <br />o ELECTRICAL LNirJJ2 I~ ~~I~ <br /> AMP SERVICE 0 Progress Energy, W.R.E. . <br />o PLUMBING <br />o MECHAl\IICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 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 />SIGNATURE <br /> <br />, ~1,.?V <br />"f' ~ ~ 1(a <br />" I ~9( <br /> <br />COMPANY <br /> <br />BUILDER <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 # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***********************************.********~******************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br />