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<br />CIrry OF ZEPHYRHILLS PERMLT A~~~L~Ar~u~ <br />BUIILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />~ Idd-/Olo <br /> <br />PHONE CONTACT FOR PERMITTING :>Cd - '3'17 - ~ 6'31' <br />(rl UA.-'::' 3ft, <br /> <br />;fLlIEJ1J k ~II E/C.. <br />JOB ADDRESS '5'9~3 ~ .2,.., ~<(;--i- ~c.,hr12-~1 /~/ <br /> <br />OWNER'S NAME <br /> <br />PHONE <br /> <br />3'5::J. ~'1/_ '&0 ~y <br />\Ju.....'Q..:1..A.* <br /> <br />/~ <br /> <br />'3 3-.r~2.- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID * \ \ - ~ tL> _;)\ - 0010-- () 456{j- 00 \(~ (OBTAIN FROM PROPERTY TAX NOTICEl <br />WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION ~RATION 0 REPAIR 0 INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0* OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br /> <br />DESCRIPTION OF WORK ~ U <br />BUILDING SIZE 2/IlfJ'rK 2~' b II <br /> <br />WtPtL ~ <br /> <br />d~- .CtAf1-f~ -In ~tf*1 R. <br />FOOTAGE 5' tf-4-. HEIGHT [?" <br /> <br />SQUARE <br /> <br />IlJ'13UILDING <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. ~cx: <br />, \ ~r,)W~-r;~ ?~ iNcLu~J- <br />PERMITS REQUESTED W~&:ttl~ {)fi'6- ~ <br />o . ~'")fiI'Kr J~v~ ,oF ()'11~ <br />VALUATION OF TO'l',AL ~TRUCTIOtJ.~ Cf) LlA 10 :'\ {"ltO <br />" -. It S L\JdNJ>~)"'fJ f]f>vJ./ O/')c.....\.:l::;)P6 <br />AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />It( f1f''''tf.- (~I-:' 1~?fio-,TI4\J, <br /> <br />VALUATION OF 'MECHANCIAL Ga. 4.~it AT IdR"ii 'L.._ ~:. ::. <br />-_. . L'-.il~{fz-JUiQ.~nh..:- <br />o OTHER __ ..... f.~-.lN L~o.l~__, <br /> <br />$ <br /> <br />IS-S-~ <br />/ <br /> <br />~ECTRICAL <br />iVt4- 0 PLUMBING <br />~ MECHANICAL $ <br />~ GAS t?fEJ ROOFING ItMD SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />IS PROJECT IN F~~~~-~~~E ~;~.~-- YE~--~ <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />L~:=-~ ~_~-=-~~_~,_~~~~.__'_.~___~ -~- . .~- _' ~-- -~__~~~. _~t~~~~~~~ -~~ -',-:\;~;-,0~! <br /> <br />SIGNATURE <br /> <br />~L ~4~ <br /> <br />- <br /> <br />COMPANY ~\v't'LL\ (' ~~/U/j-.r-, t illfh,/Ik <br />STATE CERT OR REGIST * C.B=. J 2.517-.(, I <br /> <br />BUILDER <br /> <br />ELECTRICI~ '-, . 1 <br />SIGNATURE \. m. a:J~ <br /> <br />****************************************************************** <br />{h. *-, e.. 0e.dnc.. <br />COMPANY Al" ~ I ~. C'o. <br /> <br />STATE CERT OR REGIST ft EC-- -~t1(j /,(.6~ <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 i <br />