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<br />, <br /> <br />CI~Y OF ZEPHYRHILLS PERML'!' A.k'.k'L.1l,;J!\'J:..LU~ <br />BUIILDING DEPARTMENT 5335 8~H st, Zephyrhil1s, ~~ 33542 <br />813-780-0020 FAX: 813-780-0021 . ~ <br />n~ . DATE RECEIVED <br />~3S'5 ,''0 I 70"1 <br />PHONE CONTACT FOR PERMITTING . O~. <br /> <br />fSao <br /> <br />OWNER'S NAME M~u.$ fJR.\c€ <br />JOB ADDRESS . 4'1lt I ~~, $~ <br /> <br />PHONE -g I~ '71) I S (jQ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL ID # JJt.. - 210 2., <br /> <br />. BLOCK .. Oi)IVISION <br />o Q ,.0 - 61/;D - 0' (OBTAIN FROM PROPERTY TAX NOTICEl <br />~DITION o ALTERATION IJ REPAIR D INSTALL <br /> <br />WORK PROPS ED: 0 NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />DMOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />D. OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br /> <br />D RESTAURANT <br />DESCRIPTION OF WORK ~'N f, <br />BUILDING SIZE O,?6Z).~ W L!1f" <br /> <br />& HEALTH DEPARTMENT AP~ROVAL <br /> <br />La -r- , <br />SQUARE FOOTAGE ~ ') 60 <br /> <br />HEIGHT <br /> <br />'lIr"~ l <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~LDING PERMITS REQUESTED <br />$ II:!::, <re> VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL AMP SERVICE D Progress Energy D W.R.E.C. <br />D 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 AREAD YES D NO <br /> <br />~TC~.~~~~~',"--'~" -."~'-"--, "'n"'" C [___.~.~__.~_n_.__._~_~n_I' .. n" .. .~~. ,.....~-----_.~.~"7'-E(, <br /> <br />I I I I .' '. - . I . . 'II. <br />_~~~ ~,-",,_~:'~~~__J...:.~.~~_~_~.____~_~____------ - ~____~__J~~.c..I_~~l.......--_~~ <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY .:Du N (2- '''"f""{;'- <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # <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 * <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 * <br />