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<br />CI~Y OF ZEPHYRHILLS PERM~T A~~~~~AT~U~ <br />BUI'LDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />3~13-0b <br /> <br />PHONE C;ONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />Dt!u[ € j,( (It) /"<I! 5' 0 h <br /> <br />380..5"0 L.a.uJ__~ L# <br />. <br /> <br />PHONE <br /> <br />d3/~~rf6'73 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRI PTION: LOT (S) 9 -6/0 BLOCK <br />PARCEL ID 'It /4./- J (p -,1/- 0 II" 0 - 00 'Uhf);'" 009'0 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />D SIGN <br />PROPOSED USE:JaSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DMOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Oft OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br /> <br />D RESTAURANT <br />DESCRIPTION OF WORK ~ L 1"".0 D -I <br />BUILDING SIZE c2 </;( j' '" <br /> <br />& HEALTH DEPARTMENT APrROVAL <br /> <br />SQUARE FOOTAGE <br /> <br />qso <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 /> PERMITS REQUESTED <br />o BUILDING $ 9bO.oO VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />o PLUMBING <br />o MECHAt'jICAL $ VALUATION OF'MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 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 />~'-I~'I--""-'fl-"'--""";- --, - - --____.-.r_. -~-- .~" ~ ,- ;----~,........-_:__------ ~--- - j - -. , ~ -- -- _.....-~~ -lr~""""'-,-;-':;-jl""""J <br /> <br />,0 ,I' I I I I' _ ! J f I I' I r ;' 11' '11!1 <br />.!...~~ ~.J.i__~_~_J...C__~~_h~I..!._--J.~._~__~ _______~____ ~____ _~_~~___.l_'._~~_~--'~-- r I,,! <br /> <br />SIGNATURE <br /> <br />J)~ LZL- <br /> <br />COMPANY-~ ~C5'1 ~ <br /> <br />BUILDER <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 <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />