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<br />CI~Y OF ZEPHYRHILLS PERMLT A~~~~~A~~U~ <br />BUIILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:B13-780-0021 <br /> <br />PHONE CONTACT <br /> <br />. yll3 (dp <br />DATE RECEIVED ~~ <br />FOR PE'RMITTING~-,')714.if'2. 71 <br /> <br />OWNER'S NAME 5"v,-/f# fi-~J(C i !?:rrA-,t;t.-!1::-AlFI- PHONE{$13) 7iS-... 6ttJtj' <br />JOB ADDRESS .?q?t)~ 6 -filAr;!?: ~/fI(/iYll'a-~Fi. 3-3?~Z- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID 4/: ('Z- - tfR -1 {- oO'fo -00/00 -oogo (OBTAIN FROM PROPERTY TAX NOTICEl <br />WORK PROPSED: 0 NEW CONSTRUCTION 0 ADDITION &AI:TERATION 0 REPAIR 0 INSTALL <br /> <br /> DSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: ITJ:9'~L FAMILY DWELLING DMULTI-FAMILY D4/: OF UNITS o MOBILE HO~ <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br />DESCRIPTION OF WORK (9clUG'P.A-f... ?e-N'ov/fr/M}S <br />~g"VZ~ ' <br />BUILDING SIZE /" "" SQUARE FOOTAGE <br /> <br />/~-f~ <br /> <br />, <br /> <br />HEIGHT <br /> <br />~/ <br /> <br />~UILDING <br />~LECTRICAL <br />~ ~MBING <br />~MECHANICAL <br />o GAS ~OFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: ~LOCK <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTR~CTIOtE:.-- J'o.,J I r-=::::.. \~ '.. ' <br /> <br />--~~ ~~)j~b <br />PERMITS REQUESTED-~ r..lig::rr~ -rr.."., ~1"' I <br />t.k!~Ll':" WI\..-\.. ~~~~~-'. .('\ <br />.-' ~~:r;-~ \. ~ ~ L ~!4iU <br />VALUATION OF TOTAL CO~fl-- -------- <br />S""q-, 'i 1.2-- 14r< J) 11 c sv-p it Wi ('11) L ~ :4-1). <br />AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />~a.~ - hPk~&. / <br />No€-- ~ <br /> <br />$ Z~c>~o. <br />/~c> <br /> <br />c>P <br />- <br /> <br />"0 <br />$ .3; ~t9o.. - <br /> <br />VALUATION OF'MECHANCIAL INSTALLATION <br /> <br />o OTHER <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 [g-NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # t! a..e. ~6o 3/ <br /> <br />**************************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE ~1i-~\L.~ <br /> <br />s-e,7G <br /> <br />COMPANY_()e...eS~ trl.e~'t\l':-~"'\ r.M:'. <br />. 1 <br />STATE CERT OR REGIST # [Z~\~oa\~~~ <br /> <br />~ <br /> <br />MECHANICAL <br /> <br />******************************************** <br /> <br />3 5"..'d:> COMPANY c s;;- N' ~ I.J <br /> <br />@ <br />COMPANY ~~~~...'S \~~\"-~<, ,~~~ <br />STATE CERT OR REGIST #0 ~ ~'-- \ ({ ;;). ~~~ <br />@ <br /> <br />I1-M' (JJ)F~c'1 <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br /> <br />~:..(6" #0 <br /> <br />SIGNATURE <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 />