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<br />CIrry OF ZEPHYRHILLS PERM.!'!' Al'l'.u~L;.f\'J:~U1't <br />BUIILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br />Dll.TE RECEIvED ()/,.-I'!.-OC? <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME k q>>.1"/p-IJ..T/<IAI5 ,I ~~~ ~ <br />JOB ADDRESS G 3~~ 5I'J-r~/JJ11J9 . 1)(2.. <br /> <br />PHONE ffl3-,7W'5Yi()(J <br /> <br />9 <br /> <br />BLOCK 3 <br /> <br />SUBDIVISION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />o SIGN <br /> <br />PROPOSED USE: ~FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY , TAX NOTICE) <br />o ALTERATION 0 REPAIR ~STALL <br />o DEMOLISH <br /> <br />PARCEL 10 i /~.~t,.;;./.oo4t).t5/JrrX)'OC>9c) <br /> <br />o MOVE <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />D. OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOl-' <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT AP~ROVAI, <br /> <br />DESCRIPTION OF WORK g,j91J()t/t:! 5H/,v6'/U-5" - //I/~r#ll o?6nuJ:J6.6 /n'f5~ ~(}(5F <br /> <br />BUILDING SIZE SQUARE FOOTAGE /~ II 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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ /7;1?f9 ~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL $ <br />D GAS ~OFING <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />VALUATION OF'MECHANCIAL INSTALLATION <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />~'\ -;'-.._~- ',"~- ,," -, - -. -~-;--_. .. ~... - "" .. i-- --~~~- - _.- - -- I .. .. '," -- . - :".-.. -, ,-'- ,-.-::-r---:,1 <br />I I' I I . I I I I I I " I, I t I, , I ~ j <br />_.......,_~__~__'"'" ~__~.........._-l_.J.~~_~___I.._ _.~_-'J..:...~':_ ~-------------- ~ -- -~-""-~-~~~ <br /> <br />BUILDER <br /> <br /> <br />COMPANY tv (jV IJU(Ll ,-~-yJP'1 /JJ(l <br /> <br />, STATE CERT OR REGIST # (J/2 (!- fXJIY6/-( <br />'AI OveA-N ' . , <br />****************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />, <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REG 1ST i <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br />