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<br />CI~Y OF ZEPHYRHILLS PERMIT A~~~L~A~LU~ <br />BUIIWING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />7-2~ -()~ <br />DATE RECEIVED <br />G.-oS~ <br />PHONE GONTACT FOR PERMITTING 35'd- 7" 9 lDLfCf'1 <br /> <br />(I-\(\I(SO( 5~I~V Oc-l-(-s") <br /> <br />JOB ADDRESS <br /> <br />W H-A 12TVrtJ ()evt?Lo'~ uf:"'iCt LCe.. <br />fa 7 $"'0 """2> I2A'/7J J-tkm- m {.iU- cr ' <br /> <br />PHONE <br /> <br />727--- f<;&/7~q I <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID it <br /> <br />Of.( - z,- ~ ( - OOOtJ- OOIO~- 00 )"0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HO~ <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL ~ER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />1001l./230V. /31 <br />. . ' <br /> <br />BUILDING SIZE <br /> <br />Ll~T STWflO-,J l:;-~,q-<.. cg~(.(;' <br />J<.l) 14- <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 /> PERMITS REQUESTED <br />o BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br />~LECTRICAL 10-0/3' AMP SERVICE [B"" Progress Energy 0 W.R.E.C. <br /> , <br />o PLUMBING <br />o MECHANICAL $ 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 />iL~-:~I~~~~::::~~~:~: :~~~I___- .. ~~~_-- -. -~ r~~: ___~~- -.. ':=S::,:tJ <br /> <br />BUIWER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />52.S0 <br /> <br />COMPANY <br /> <br />6-~ 4w c;fU~V7t //1'Jl- <br />. <br /> <br />STATE CERT OR REGIST it t;C /300 3a 71 <br /> <br />SIGNATURE <br /> <br /> <br />******************************************************** <br /> <br />ELECTRICIAN <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 it <br /> <br />********************************************~******************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />