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<br />CI~Y OF ZEPHYRHILLS PERMLT A~~~~~AT~U~ <br />BUH.oING DEPARTMENT 5335 8TH st, Zephyrhills, F'L 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />Cl~)7 <br />5' ls <br /> <br />(3l.-(~L{e~ <br />to +-- "" 5 .t- <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL ID # 11- L l, - 2/ - oc..::> I <.J - o2.S--0Q- 007r6BTAIN FROM PROPERTY. TAX NOTICE\ <br /> <br />WORK PROPSED: o NEW CONSTRUCTION o ADDITION OALTERATION o REPAIR o INSTALL <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY Oft OF UNITS o MOBILE HO~ <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />CJ RESTAURANT <br />~ ~vt/f <br /> <br />& HEALTH DEPARTMENT AP!?ROVAL <br /> <br />/6 5L '2 5>- 0?ar 3'.~h 0"'- '~7 ~lDjI <br />/ AAS-h.'L~ T7c) 0"," .('~-r- <br />SQUARE FOOTAGE HEIGHT <br /> <br />BUILDING SIZE <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 />D BUILDING <br /> <br />PERMITS REQUESTED <br />$ -:3 Y 2 S- .- Q) VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy D <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 AREAD YES D NO <br /> <br />[~~,-, .~L~~~ --'-,-~~~~'~~,~._~~_._.~~~-=-=---~:- ,--=~~~~'~~-- =l~~~~~~=~"-'~~~~~,'! <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST ft <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />. <br />STATE CERT OR REGIS'l' ft <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. V U /?,~ . COMPANY k= 7/:;tJ;.(c..);4.;>fN ~c..Jh,!.cj <br />./ <br />SIGNATURE!... ~~ STATE CERT OR REGIST ,(lee 0 J7 9.T7 <br />