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<br />CI~Y OF ZEPHYRHILLS PERMLT A~~~~~A~~U~ <br />BUI'LDING DEPARTMENT 5335 a'J:H St, Zephyrhills, Fl. 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />70/6/0b <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />ThaOl fA. ~ {'a ,I-(1;'a. <br /> <br />JOB ADDRESS J5Lflf T()u/[ /1l.~lL,(e <br /> <br />LEGAL DESCRIPTION: LOT (S) ,;){c~ <br />cJt/- tJ4 - 02/ --00 P () - () 6(X)O ~ ~(} <br /> <br />OWNER'S NAME <br /> <br />PHONE <br /> <br />.. :....... .\ ~ !..... '"'. "". ;'" <br />, . . _ ~ __ . ..., c <br /> <br />1J1/tt(' <br /> <br />BLOCK <br /> <br />SUBDIVISION Iii E/x_im/lk <br />/JollL <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />PARCEL 10 # <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOt-' <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />I u.. I) a.. / <br /> <br />BUILDING SIZE <br /> <br />Ie). )( YaY <br /> <br />SQUARE FOOTAGE <br /> <br />s-o'li <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />",0 Q. V <br />If ~I~V <br /> <br />J!\I BUILDING <br />}4 ELECTRI CAL <br />ta PLUMBING <br />o MECHANICAL' <br /> <br />$ <br /> <br />v.o 000. (YJ <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF'MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o 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 AREAD YES 0 NO <br /> <br />~'\,:-,--~-~-,'---- ,.--' - --~------ ------ --- - - r-- .---.~----------------- , .. -- "", -- -- --- -,,", --~-"---.~~";'-r, <br />"" , , " ,,' .. _ . I ' "I' ," t, "'" <br />_.~~~"""""-""-1+'-'l._~~~~_~'-~_~____.__.__':'_____~_----~--- - -- ---~-~~~-------~ <br /> <br />1ft). "::> oJ <br /> <br />(tEw-/4qeAI <br /> <br />..... <br /> <br />COMPANy04J.I-lr- J!Lomq,f reilY/a. <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />'2 _<;;>,0 <br />.J>" <br /> <br />COMPANY {J/~ - lit OwrA S cr a::c.-rc l e:.... <br /> <br />SIGNATURE tJWItDz. <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER .~ 5' 0/ b':> <br />SIGNATURE t9tcntvrJ <br /> <br />COMPANY t9t~- 7h0Pt1.45 0a..rr{~ <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 # <br />