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<br />cIrry OF ZEPHYRHILLS PERM~T A~~L~~Ar~u~ <br />BUIILDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />9-1,yjo c.o <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER'S NAME (~ l~!~ <br />JOB ADDRESS 38;J.~Q~~. f(~p, Pch1 <br />LEGAL DESCRIPTION: LOT(S) (57 BLOCK <br />PARCEL ID # <br /> <br />PHONE g l j 7.Pi :< 'l~S" <br /> <br />SUBDIVISION'~oS\-\ c-' Oalc::...-.;> <br /> <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE\ <br /> <br /> <br />~TERATION 0 REPAIR [] INSTALL <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />D SIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />D MOVE <br /> <br />D DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />D. OF UNITS <br />o SWIMMING POOL <br /> <br />[] MOBILE HO~ <br /> <br />[] OTHER <br />30 (\.0) '><. L\ 0 (1+ ') <br />'-.\\1'\'-1,\ <br />( '5 u,.)\Vl~ ') <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br />DESCRIPTION OF WORK ~ ~ ~~ /L..Cl-"O'J1u AA,....';H ~~ <br />BUILDING SIZE ,~ X 3J/- SQUARE FOOTAGE tj.o? <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 PERM~T ONLY (2) SETS OF ENGINEEREO-PLANS REQUIRED:- 11:- ~l I ",=::, ;;:',:'/' <br />"!t-= N\ I ~?.~:,y~"SURVEY REQUIRE OR AL,'- L NEW CON~TRU~~~L ~.'-.__ <br />I:?, ~', W\\ i\)\V\. '-2---;;-- '~3 J/1 ---..,m- ~. " ~ )r\:t':Sl~~,i~ <br />"1""\:' --M::::OWL <)\ -;.;;..... '. y')..z' .-" .tL... rr.... . S1.~ <br />~~\ -1-1 ~,H:"':",re'f E QU D _' ,I!.~_U,~'~'- -- <br />, ~,~('( A'rr~ ' '-vr,~~1!..~~-~~ <br />L1BITll.DING ~) ~---,oo . 00 lr VALUATION OF TOTAL CONSTRUCTION ()J ~~1 fVUi- , ' <br />'~'NUM ~b'N.J7-EN"" 'I' l ,)":"""'I'l\.- ~c.. <br />o tL-'ECT~~.L ^~.n ~ ~ AMP SERVICE D Progress Energy D W.R.E.C. <br />i~ I~ ,H."""y l " ~II'liIJL I J <br />o PLUMBING prt-.~)~ SIZE" a- \~'04>~-O\-D % <br /> <br />o MECHANICAL $ 2:/. '-lit VALUATION OF .MECHANCIAL INSTALLATION <br />, j/.U ",......,)) II 3)$ (I <br />o GAS 0 ROOFING 0 SPECIALTY" 0 0 :.:)\ze.. 3(0 '><. <br />OTHER Alon-n;:, ;;;2. JQ'-1. ~ L9.)'rIitr2 <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK 0 F~---'fl'S'I'-EE~ 0 OTHER P-!Lh-n WI od(,'l,L. h-e.\c.\ b<-( <br />- ',,---- f-j Sc.<~ CJ'y'\ S',ae- ) <br />FINISHED FLOOR ELEVATIONS IS PROJECT I~OOD ZONE AREAD YES 0 NO <br />9- C/Y"I-\-of> <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />ELECTRICIAN <br />SIGNATURE ,/ '0 }t{~ . <br /> <br /> <br />****************************************************************** <br /> <br />PLUMBER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST i <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />***********************************.********~******************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />CJ - ~) ,- j/h.\\.r--o)' ~ho~ <br />\"'SA ~ (f--\- ~ CX'~ ' ' <br /> <br />-y- '\+-oD\~d 9 "5~ <br />p-ou\ d--rL. P,<'<.:::>d-Uc:....-\ <br /> <br />QQ....ry--., <br />