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<br />CI~Y OF ZEPHYRHILLS PERMLT A~~LL~AT~U~ <br />BUIiLDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />'5 ! d~/o(p <br /> <br />- OWNER'S NAME 0lr. '-P '0\r~, T \"t:(')(~ D n~ 'R. PX).R r <br />"JOB ADDRESS Lf7~'J )iStlr ~t., <br />LEGAL DESCRIPTION: LOT(S) Ii) <br /> <br />PERMITTING <br />(1(17 - d?~1..\; CC~') <br />PHONE (1S'r~J 7~7->'. d(r)71lr, <br /> <br />PHONE CONTACT FOR <br /> <br />BLOCK <br /> <br />';J.lr. <br /> <br />SUBDIVISION fY\N.,i-e'v fl~+ AL\c\\.\ibl, <br /> <br />... PARCEL 10 # )If .,20 - 2.' ,- 00/0 - 0'l,000 ~ 0/00 <br />WORK PROPSED: DNEW CONSTRUCTION ~DDITION <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OS~ <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI -FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE Hm <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br /> <br />. DESCRIPTION OF WORK --r\:bo <br /> <br />21/' >< 2t.( <br /> <br />9-mf.,Y, <br /> <br />G.AA~ AthI1'-,()~ <br /> <br />BUILDING SIZE <br /> <br />IISl. <br /> <br />HEIGHT <br /> <br />2..,'/0" <br /> <br />SQUARE FOOTAGE <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 PERMIT 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 />~OL-- <br /> <br />~ <br /> <br />~D V\ 0 ,'('\ '0 t () S 01 \l\.;L.c.X'1. <br /> <br />/ <br />~UILDING <br />/ <br />~LECTRICAL <br /> <br />o PLUMBING <br /> <br />o MECHANICAL $ <br /> <br />o GAS ~OFING <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />0/0DO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 ~O <br /> <br />~'~..,.~~.~.~_._ -:._....~._____.... ..... , :--.---.~~---.~ -...- -~'i' . ... ..--- ".--,' '--~~-,"~----:~, <br />rl I' I I \ .' , j f ' tr I, 'I <br />II I 1 J ' ! I <br />-~-~_.~-~--~---'-~~-- - - ---------~--------~--- - --- - -----~----~~~ <br /> <br />. BUILDER <br /> <br />COMPANY <br /> <br />OI..;I.ueQ.. <br /> <br />SIGNATURE <br /> <br />'/~~~' <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />~~/...~ <br /> <br />COMPANY <br /> <br />OuJf'J~ <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />****************************************************~(.;~*~ ~~ <br /> <br /> <br />~ Q::::,~ COMPANY r~~ <br />STATE CERT OR REGIST ~~~ ~~ <br /> <br />* PLUMBER <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 /> <br />~ O(\lLt .~ ~ -I VI ~ "\n+o ~,. <br />