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<br />CIrry OF ZEPHYRHILLS PERM.l'l' Al'l'LJ.L;J!\'J:.LU1'f <br />BUI'LDING DEPARTMENT 5335 8TH st, Zephyrhills, ~~ 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />d.19. 7/00 <br />, <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME --:'-_.'~J l I .Ii . L C) /.tl IJ <br />JOB ADDRESS '5 <6 3 3 :)- Ft..xqjr (Jiu s [)I(. <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PHONE(f1 3 --: 7 g B - ;Jfo 6~ <br /> <br />SUBDIVIS10J) tc,ff tv~ 0'& <br /> <br />PARCEL 10 # 02.~2lo-2\-a2L\.O- C)oooo-: 0\\0 <br /> <br />/OBTAIN FROM PROPERTY,TAX NOTICE} <br /> <br />WORK PROPSED: []NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />[] ADDITION <br /> <br />!;(ALTERATION <br />o DEMOLISH <br /> <br />[J REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[]jj: OF UNITS <br />o SWIMMING POOL <br /> <br />[] MOBILE HO~ <br />[] OTHER <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 />PERMITS REQUESTED <br /> <br />!_()~..JJ LG~ ~s-\-c~ <br />-::~AL- 'L.AJ-- ~S-\-<ClJL ~.~ <br />~3'6 9.000. <br /> <br />o BUILDING <br /> <br />$ 9cc.oo <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />[] MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <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 />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />BUILDER--- /.l ff COHPAN# ~ ~ <br />SIGNA;~ rU:, I/':^{ "'--- STATE CERT OR REGIST j <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 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 />