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<br />CI~Y OF ZEPHYRHILLS PERMLT A~~~~~A~~U~ <br />BUI'LDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR <br /> <br />DATE RECEIVED ~ /.;} /pCp <br />(; ~'WJL <br />PEBMITTING 7/5"-7/2-~ <br /> <br />OWNER'S NAME 1=LO~)bA f~p.rr4LZ-;JJtt ~ <br />JOB ADDRESS 7b50 GALL Sl...JJ b.. <br /> <br />PHONE 7B3"" &, lid q <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />D ADDITION <br /> <br />(OBTAIN <br />'/(ALTERATION <br />o DEMOLISH <br /> <br />FROM PROPERTY TAX NOTICEl <br /> <br />PARCEL ID tt <br />WORK PROPSED: DNEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />D REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D. OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOl' <br />~OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APfROVAL <br />DESCRIPTION OF WORK ~/)\IA-T7"N tJF ~'XISY7Nb ~~J7/ft- T? Nt=h/r"ATJ-l L-A1J <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 />fJOC!-- - <br /> <br />::s--s-/ <br /> <br />PERMITS REQUESTED <br /> <br />)('BUILDING <br />o ELECTRICAL <br />D PLUMBING _ <br />D MECHANICAL / <br /> <br />$ 41)0 /YY) <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D Progress Energy 0 <br /> <br />W,R.E.C. <br /> <br />$ 'DO bDO' <br />\ <br /> <br />VALUATION OF'MECHANCIAL <br /> <br />31.;)3- (\.C'tG~L{, C/Y,,- <br />\oJL l L~ s...uo " (-..Fa <br />."ULQ(~~ <br />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~ ~!~--T""" ~'"' ~- -, - - -;--~~-.~ t ~ ~~ - ~I ~ ~ -1 ~- ;-~ ------->-~-- --~- -- ----- J - -I" ] 1- - ~ - - --.-...- M ~ --r 17" - ,l~j~~~~: <br />~', ~ ,!' ',' ii' "", ,,": I ,~:, I I I' , , ," I' ' . IV <'17~' <br />_ __.~ ..~_~_...........____'-~+_'--_ _,,--_._~-'1.._____~____----- -- --- ---~~--~ <br /> <br />BUILDER ~ ,,1\\ COMPANY-~~ (J)~IST. fl). I>k:_ ~ <br />SIGNA;URE~I 11if( STATE CERT OR REGIST ~ CbCI?II/7/ ~ <br /> <br /> <br />**********: ****************************************************** ~ <br /> <br />SIGNATURE <br /> <br />Q ~ ~<ryV\ 0-> <br /> <br />COMPANY ~" P (:;> <br /> <br />- : <br />to QrJL;~ <br /> <br />;f'~ <br /> <br />ELECTRICIAN <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br />------ <br />'IGNATU <br /> <br /> <br /> <br />P>y \~. . - _ <br /> <br />- " ...-.- <br /> <br />.,*- <br />"\ <br /> <br />************************************************* ~ <br />COMPANY j~ C \-\ (h~...hc"\jY~(, ~ r- <br /> <br />.-./ <br />STATE CERT OR REGIST # <br /> <br />********************************************~****~*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />