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<br />C1rry OF ZEPHYRHILLS PERM.l'.1' Al'l'.LI.LL.;.a'J:.LU1'f <br />BUI;LDING DEPARTMENT 5335 BTH St, Zephyrhills, FL 33542 <br />813-7BO-0020 FAX:B13-7BO-0021 <br /> <br />DJ\.TE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />:20 bey 1- <br />~~2o <br /> <br />~evk(l~ <br /> <br />S l l.ve.-v b ~ \L.-<;. <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />:Dr <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL ID it D '3 - L ~ - L J <br /> <br />BLOCK SUBDIVISION <br />. __ 0/ 10 <br />01 LA -60000 (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />Os I GN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0* OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APpROVAl, <br />~Vb\J f- "5 S- 51 <br /> <br />wI <br />, <br /> <br />;s ~ vcc;.." . Clt-F T",1A 6-{v Ir'vu. <br />/ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o 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 />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 AHEAD YES 0 NO <br /> <br />""~'~-"'''''''T~-t-..,...","" __~ ___~~_____...., .~,_~__~,__ _ ~ _,_____~_+......___~-_- ------y - ,-- --- -- - - --...____..-__~___,,_IT,.,...,..,...,~ <br />If; r I I , 1 l I I I I I, ' ,(I <br />WI I 'J t I' I i I t ~ r - : It' I I I I ' ~ 'I '111) <br />II'_......~_~.J..O ~_~_---1...-__J..:.J..._____~___~._____.:_ ~----------- ~-- ---~~~~~-~~+, ' <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIS'!' it <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 A () u -A:J COMPANY Sf 0 Irt:; /ttcjurl..-" # tf.-.v v +-. ~ 'l-rd... <br />SIGNATURE ~ __ STATE CERT' OR REGIST # (C ( Or77J/ <br />