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<br />CI~Y OF ZEPHYRHILLS PERMLT A~~L~~A~iU~ <br />BUIILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />. 813-780-0020 FAX: 813-780-0021 .... 1lJ]'D(p <br />,1 DATE RECEIVED ~ ~ <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ~~ -;:5. Ch\~,S~ PHONE(2I~qS)-~S\)j <br />JOB ADDRESs33\o\'-\ :;;:l~~ ~ ~~,,[~\.~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID it \'\-~\o -'d..\ _\)\:J\'\::) -'"';)...\)\o\J~-()c)\\:xOBTAIN FROM PROPERTY TAX NOTICEl <br />WORK PROPSED: ONEW CONSTRUCTION ~ADDITION o ALTERATION <br />o SIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE~L FAMILY DWELLING OHULTI-FAMILY Ot OF UNITS <br />o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOBILE HO~ <br /> <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br /> <br />~ :f-d-,\ ~~ ().b..1.:S~ ~ "ew' \)~ 'y-,,,N, <br /> <br />BUILDING SIZE ~~J \.4 \'K:\ t ~~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 />~t~9.. .3;2"2- ~%. <br />. u ~% InfO. <br />PERMITS REQUESTED <br /> <br />Nee. <br /> <br />/ <br /> <br />N €fD c....('.crt\,'Of ~~.;\-/ <br />D" P [c\.<\<; . v <br /> <br />AMP SERVICE <br /> <br />o Progress Energy <br /> <br />IitJiL~ L~) <br />W. R. E . ~.I, u l1Ul' <br />JA-~" P L ytr.j <br />y[ - 'J \ ttJlj) <br />INSTALLATION >::C) <br />1 M L~,\ )b~ c;.. <br />lJJlrH i50lY)JI~ <br />~J?~\.-) <br /> <br />o <br /> <br />~ BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL $ <br /> <br />$ ~ 0 t'5\::)~ <br />} <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF.MECHANCIAL <br />o OTHER <br />~RAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO 13 <br />3'3Of, <br /> <br /> <br />SIGNATURE <br /> <br />l~ ~~~ - \J~OMPANY <br />~6.~ . ~V~.: . STATE CERT OR REGIST jf: <br /> <br />,;;: _*,** ***.*~*~":"************:::::::~;*;&;;;;~*;;'s..c <br /> <br />~ .~ STATE CERT OR REGIST * <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE \~,Vv~ ~ \-~~ . <br /> <br />COMPANY {f W ;1J ~ ~ ' <br />STATE CERT OR REGIST # <br /> <br />~****************************************i*1*******A**~*~****~ <br /> <br />MECHANICAL /! , II COMPANY t::i!.-*M> Hi'- /a'~{'(j'E!;, IiX' ' <br />SIGNATURE l tJllIP1.t~ STATE CERT OR REGIST f ltI/30b 7,9'17 <br /> <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />