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<br />CI~Y OF ZEPHYRHILLS PERMLT A~~~~~ATiU~ <br />BUIILDING DEPARTMENT 5335 87H St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER'S NAME C 1'v'Lolj G) '-1 ck Je VI <br />JOB ADDRESS . Lf / L{ ~ / / t-"'- .Sf <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />ILL 2 'J .....-- . 0 ~() <br />PARCEL ID * ,_. {g - L. I - O\:J In' - 0 2~00 0 (OBTAIN FROM PROPERTY TAX NOTICE! <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0* OF UNITS o MOBILE HO~ <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />o RESTAURANT & HEALTH DEPARTMENT AP!?ROVAL <br /> <br />DESCRIPTION OF WORK ~ V0U r- / 6 .5 ~ 2.S-:ye~'-. )AI;~ O"J,1r~/jq.f _ <br />ri rC' S Iun~ TFo <u, ";:::"'t't..-7"- <br />BUILDING SIZE SQUARE FOOTAGE 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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ , i72-!;;JO 0 <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 AREAD YES 0 NO <br /> <br />~':i~-~~:~'-"-"'" ~~-- -,---~-----'-- .--~ ---, - -r-- ~-_r-r~~______ ----~~--Il~ _. p - -- ---- --~"--"'---~-~~T=~rl, <br />"I I I I' I. - . r ' ,f, J , ( , <br />~I' , II, I I "1 <br />-~ -..............-_=_-'-'l-~_~___'-~__.__L,...;._.___._.:...__~__~__ _ _____~~_------..:___~~...............~~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <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 tiZo) /"1 ",:J COMPANY S'u-jf-VJ I tl<. cA.w... t+iJ ;2u f)1-/~ <br />SIGNATUR~ ~~ -------- STATE CERT' OR REGIST # (( Co ,7 TJ"7 <br />