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<br />CI~Y OF ZEPHYRHILLS PERM~T A~~~~~^~~U~ <br /> <br />BUIILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />, 813-780-0020 FAX: 813-780-0021 <br /> <br />\ <br /> <br />DATE RECEIVED <br /> <br />'-\-_ L~-O~ <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER'S NAMF:-1feA0 ,f..-r CA B A- L.-( Ii(t.:;) PHONE 7 32 ..;-~ I S<{3/ <br />JOB ADDRESS' ~( <-f ~ q 1::!b- ST. '+ ~ I 3 - '117- ,y b .5.s- <br />LEGAL DESCRIPTION: LO~ (S) 5"; ~ ~ I BLOCK 3'-f SUBDIVISION <br />PARCEL ID # 1(_'Z..b-Zl-OO/O-tJ3''-/-Ob - ~O"'i'""C> (OBTAIN FROM PROPERTY TAX NOTICE\ <br />WORK PROPSED: ONEW CONSTRUCTION ~ADDITION o ALTERATION 0 REPAIR 0 INSTALL <br /> <br /> DSIGN D MOVE D DEMOLISH <br />PROPOSED USE: ~L FAMILY DWELLING OMULTI-FAMILY Of OF UNITS o MOBILE HO~ <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APfROVAL <br />1... L' u 9' " <br />~.. A-I>b , -.-(~ ~ T~-,-A-tt...O'S ~c.(l. i:>r ~~,c:r <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 /> <br />/ <br />" . <br /> <br />l \"'" f <br /> <br />/ <br /> <br />PERMITS REQUESTED <br /> <br />D BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D 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 />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <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 &'No <br /> <br />[~~~~~==~~~_~:~---=--_~_~-:~~~-_.__~_~--=--_~_' ~ ,-~----~=~-_~ _ ~_l~~-I~--_:_~~' '. ~~ ----,~'-::,~.; <br /> <br />::::::REC~ . (2j ~ <br /> <br />COMPANY <br /> <br />~~ <br /> <br />00'<-Y........< <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />#. <br />. .' . <br /> <br />kI~ <br /> <br />COMPANY <br /> <br />/4-.-. G tv-~ <br /> <br />ELECTRICIAN <br /> <br />- <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />~ .a;~ <br /> <br />./ . ' <br /> <br />COMPANY <br /> <br />~ <br /> <br />[) ?v-,vVV'L <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />*******************************************************;~********* <br />MECHANICAL , ::? ' COMPANY ~ ~<V_~ <br /> <br />SIGNATURE -'~ ~~ STATE CERT OR REGIST I <br /> <br />***********************************.*************~*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST f <br />