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<br />CI~Y OF ZEPHYRHILLS PERMLT A~~L~~AT~U~ <br />BUIILDING DEPARTMENT 5335 8ra St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />DATE RECEIVED 31~~ <br />'"'SQ.w 3J5 a-., <br />PERMITTING 5(O( - 351 C> <br /> <br />OWNER'S NAME <br /> <br />Ge,c)~ ~ ()J e. 1\ e. t-\-e. <br />3 SS G5 \ To..-c-r\)[ <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />lot. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # 3CS-~S'-d~-OU\O-\\SOU-OOOO /OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />WORK PROPSED: ~W CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR 0 INSTALL <br /> <br />OSIGN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />o oft OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APpROVAL, <br />DESCRIPTION OF WORK rll~u' _ I ~, . . L """:' ~,~7> P(i,L/~ ltfod'P / \.f:"T ({/'~ <br />BUILDING SIZE ,~ "d. r "f.. 34 I SQUARE FOOTAGE j;:rJO, 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 PERMIT 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 />PERMITS REQUESTED <br /> <br />'3 _~-O{P <br />~~ (C.B, no r <br />I 0"po&- ~.e. ,~ <br />~ <br /> <br />g.BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />/301) rOJ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <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 />~'Tir~tl--"'-;-'fr<'"""~~"'~ - n, - ~---;- ---..-,- ~~ ~~- - -." H -, I~,r-- _~r----~~-~~ --- ~ ~ I ~ -~ - ~ I~., -~ ,-~ - ~ --iM - -I' -:--,7'-~II-.f-1I:--;-1~/ <br /> <br />, " I I I I I I I I' . r _ ~ j ~ I l' If, I' ;l <br />~"",~~",~.h_~_~_ ,.;J._J~_____~_...... 1_ _-..L_~~__":_ ______----~ - - ------!---~~~-~~'-'-'-'----~~ <br /> <br />COMPANY "yo't"rt/ Ae~5 t2d ~s <br /> <br />q~' <br /> <br />STATE CERT OR REGI ST # 0 I 11 (1000 8'h <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />, <br />STATE CERT OR REGIST oft <br /> <br />****************************************************************** <br /> <br />1~ <br /> <br />PLUMBER <br /> <br />COMPANY Seue.f-v' /k <{;oJ 11 U -Sjf/~ <br />MO. ~ STATE CERT OR REGIST i Dlff<>Cmo~ <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~ MECHANICAL <br />~~\~ SIGNATURE <br />~r <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br />