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<br />CI~Y OF ZEPHYRHILLS PERM~T A~~~~~~~~vu <br />BUI;IDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 -"1 - "2 Lr f1 <br />813-780-0020 FAX: 813-780-0021 &' <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING '7 ( )~ I f.t; d-- 0 <br /> <br />OWNER' S NAM~I' nr.. ,Je flJ <br />JOB ADDRESS Ze. ph yr . Rt?za, <br />LEGAL DESCRIPTION: LOT(si <br /> <br />'\ 0/3-/~:Ld <br />((t~ j)Lu. S J PHONE ~ 13 -,ji I - ~ <br />5953 ~a.A/ f3Jvd 2ff FL .33)"'/.:t. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 * <br />WORK PROPSED: RDNEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~ COMMERCIAL <br /> <br />IOBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0* OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D. REST1~.uRANT &" HEALTH DEPARTMEt~,T ,AP!?ROVAI, <br />elK:.<I!.-H o~ aD I CL Vi ~~ mc:xe:l).~ 'I' <br />. ,,-ttd-t IN-> J X /I C ()'L-t'r{.~c. " ~ol I;), II Jku:.J..J I.U. r--ll'(\ <br /> <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />h::.-:r <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) 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 />(J ~ <br /> <br />PERMITS REQUESTED <br /> <br />~. BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />;2100.00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <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 />SIGNATURE <br /> <br />COMPANY \N~ ~t COO\. ~ C~VLt.y(. fe.- (7C FL <br /> <br />STATE CERT OR REGIST * C 1~e..1 J.. '5 dO{Jd <br /> <br />BUIIDER <br /> <br />***********.*********~*************************.****************** <br /> <br />\.0', \ \ .Cc\)~ -, n <br />Tc.o S'<{Y' ELECTRICIAN <br /> <br />COMPANY <br /> <br />\'\lO.r'+u-r- E l e e-+V-1.. c:::..... <br /> <br />SIGNATURE <br /> <br />, <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER 2 <br />.>l <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 />