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<br />CI~Y OF ZEPHYRHILLS PERM~T A~~LL~A~~U~ <br />BUIILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 ..j ~I' <br />DATE RECEIVED ~~.:J 'O~ <br />.[~.,; <br /> <br />PHONE CONTACT FOR <br /> <br /> <br />OWNER'S NAME <br /> <br />IZ (ill mOA cI <br />v <br />J f Ot:2 7 & Y- ^. <br /> <br />IJ /J'J()/) <br />./ltA{ <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />J ~ - ;)0- ;)/- ()(J cL1-00/()O -{)Old <br /> <br />BLOCK <br /> <br />SUBDIVISION V/~4J;!J9j tf{.{iJ r <br /> <br />V <br /> <br />PARCEL ID * <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />DSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />[JREPAIR <br /> <br />o INSTALL <br /> <br />[]MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />O. OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE Hm <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT & <br />; 17 q rouA-d <br /> <br />v <br /> <br />HEALTH DEPARTMENT APrROVAL <br />12 t;D I -l---f 1--. e /O~"/!L- <br />v _~ <br />SQUARE FOOTAGE ~ /JF <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (l) SET ENERGY <br />IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />~. ',)'Af, lZJ'.l\;~.-\f'-\ "0'(' <br />;c.~," \, (1f:.f'~,<1:_, , <br /> <br /> PERMITS REQUESTED <br />ttl BUILDING $ .1,;l J] tj. if) VALUATION OF TOTAL CONSTRUCTION <br />( <br />~ ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />~ PLUMBING <br />o MECHANICAL $ 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 />r"-~-~I,~~~ ':-- ~_~~_=~~_-:_~_~__~~_-~______I~=-=_-~=~~---~=,~-- -',l_:~__l~~~- - -I:'-":\-~~l~~ <br /> <br />~id-e~ <br /> <br />,,-0 <br />. J-fSL,1 <br />t'L~ <br /> <br />COMPANY mt--t~je I'ao4 <br /> <br />I \L~(' t& > 7ic . <br />. <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST . <br /> <br />SIGNATURE <br /> <br />***************************~~************************************ <br />"'1../' --' r/.1 . <br />JJ ' COMPANY R--etl;t.t.... LC~{'t /'L~ <br />0:~~l4-e~ C~~ . <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br /> <br />?, 5 ~D'::- COMPANY In L~l a f{ Pool AljJ<tf t'tJhc ~ <br />~I- .( i,- D2kU L STATE CERT OR ;EGIST # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * *'b * * * * * * * * * * * * * * * * * * * *. * * * * * * * * * * * * * * * <br /> <br />OTHER Peel flLe/Nu/!.( q{)~ COMPANY I~(,lfi '€ftt/f! [P.oIIS(.:Jj.C, <br />SIGNATURE ~J Q C____ <br /> <br />~ 'Lj'(/'f:l--/ <br /> <br />STATE CERT OR REGIST # <br />